GENIE ROOSEVELT MD
NPI 1457436198
Pediatrics - Pediatric Emergency Medicine in Denver, CO

Active since October 25, 2006PECOS Enrolled
777 BANNOCK ST, DENVER, CO 80204(303) 602-3300 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 9, 2024, Mar 19, 2021 (2 updates tracked since 2021).

About Genie Roosevelt Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENIE ROOSEVELT MD (NPI 1457436198) is an individual pediatric emergency medicine provider in Denver, Colorado, licensed in Colorado (39854) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1457436198
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameGENIE ROOSEVELTCredential: MD
Location Address777 BANNOCK STDenver, CO 80204-4507
Mailing AddressPo Box 876Aurora, CO 80040-0876 · (303) 493-7000
Sole ProprietorNo
Enumeration DateOctober 25, 2006
Last NPPES UpdateMay 9, 20242 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
NPI 1457436198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in CO · 39854
Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

777 BANNOCK ST, Denver, CO 80204

Secondary Practice Location 1

Location 113123 E 16th AveAurora, CO 80045-7106 · Phone (720) 777-1234

Other Identifiers 1

Medicaid23179732CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Genie Roosevelt Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
777 BANNOCK ST, MC 0206
DENVER, CO 80204
Family Medicine
777 BANNOCK ST, VC 1914
DENVER, CO 80204
Pediatrics
777 BANNOCK ST, MC 3000
DENVER, CO 80204
Psychiatry & Neurology (Psychiatry)
777 BANNOCK ST
DENVER, CO 80204
Obstetrics & Gynecology
777 BANNOCK ST, MC 3240
DENVER, CO 80204
Psychiatry & Neurology (Psychiatry)
777 BANNOCK ST, UNIT 9
DENVER, CO 80204
Advanced Practice Midwife
777 BANNOCK ST
DENVER, CO 80204
Nurse Practitioner (Obstetrics & Gynecology)
777 BANNOCK ST, MC 1914
DENVER, CO 80204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457436198, enumerated as an "individual" on October 25, 2006.

The provider is located at 777 BANNOCK ST DENVER, CO 80204 and the phone number is (303) 602-3300.

Pediatrics with taxonomy code 2080P0204X and a focus in Pediatric Emergency Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.