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

Q: What is Genie Roosevelt's NPI number?

The NPI number for Genie Roosevelt is 1457436198. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Q: What is Genie Roosevelt's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Genie Roosevelt was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 16, 2026.

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

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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.

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

Phone(303) 602-3300

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

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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.

MS. KATHERINE JEANNE CARLEY RN, MSN, CS

Clinical Nurse Specialist (Psychiatric/Mental Health)