Individual provider Active NPI

Robert Lee Gustofson, M.D.

  • Reproductive Endocrinology Physician
  • Louisville, CO
National Provider Identifier
1992800478
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
44305 Issued in CO
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

Updated by the provider on Dec 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
44305COMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fertility Laboratories of Colorado PastSince Dec 22, 2024 Accepting new patients
William B. Schoolcraft M.D. P.C Reproductive Endocrinology PastSince Dec 22, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.