Active NPI
Robert Lee Gustofson, M.D.
- Reproductive Endocrinology Physician
- Louisville, CO
National Provider Identifier
1992800478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 44305
- Practice address
- 80 Health Park Dr Ste 240
Louisville, CO 80027-4644 - Phone
- (303) 665-0150
- Fax
- (303) 665-0740
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | 44305 | CO | Primary |
Addresses
Primary practice location
80 Health Park Dr Ste 240
Louisville, CO 80027-4644
Mailing address
10290 Ridgegate Cir
Lone Tree, CO 80124-5331
Phone (303) 788-8300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44305 | CO | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fertility Laboratories of Colorado | Past | Accepting new patients | |
| William B. Schoolcraft M.D. P.C | Reproductive Endocrinology | Past | Accepting new patients |
Interoperability endpoints
- robert.gustofson.1@17469.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Englewood, CO
- NPI 1811090624
-
- Reproductive Endocrinology Physician
- Lonetree, CO
- NPI 1821292582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1992800478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10290 RIDGEGATE CIR",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801245331",
"telephone_number": "303-788-8300",
"fax_number": "303-788-8310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 HEALTH PARK DR STE 240",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800274644",
"telephone_number": "303-665-0150",
"fax_number": "303-665-0740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUSTOFSON",
"first_name": "ROBERT",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "CO",
"license": "44305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.