Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CARL-PHILIPPE ROUSSEAU
NPI 1881077030
Family Medicine - Adult Medicine in Arvada, CO

Active since July 07, 2015PECOS EnrolledAccepts Medicare Assignment
5017 W 64TH AVE, ARVADA, CO 80003(303) 970-2334(855) 576-4092 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 9, 2026, Jul 10, 2025, Feb 24, 2020 (3 updates tracked since 2020).

About Carl-philippe Rousseau NPPES

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

CARL-PHILIPPE ROUSSEAU (NPI 1881077030) is an individual adult medicine provider in Arvada, Colorado, licensed in Colorado (DR.0075292) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1881077030
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameCARL-PHILIPPE ROUSSEAU
Location Address5017 W 64TH AVEArvada, CO 80003-6529
Mailing Address102 Woodmont Blvd Ste 600Nashville, TN 37205-5250 · (888) 987-1151
Fax(855) 576-4092
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 7, 2015
Last NPPES UpdateSeptember 9, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
NPI 1881077030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Licenses Licensed in CO · DR.0075292 Licensed in NY · 289925
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
5017 W 64TH AVE, Arvada, CO 80003

Secondary Practice Locations 2

Location 14100 E Mississippi Ave Ste 110Glendale, CO 80246-3051 · Phone (303) 552-9522 · Fax (415) 252-7176
Location 21 Gustave L Levy PlNew York, NY 10029-6504 · Phone (212) 659-8552

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Carl-philippe Rousseau is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143595298
PECOS Enrollment IDI20250609003093
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
321 services121 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
96 services90 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
65 services50 patients
Advance care planning, each additional 30 minutes 99498
Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.
60 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Internal Medicine
5017 W 64TH AVE
ARVADA, CO 80003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carl-philippe Rousseau's NPI number?

The NPI number for Carl-philippe Rousseau is 1881077030. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Where is Carl-philippe Rousseau located?

Carl-philippe Rousseau practices at 5017 W 64th Ave, Arvada, CO 80003. The listed phone number is (303) 970-2334.

What is Carl-philippe Rousseau's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Carl-philippe Rousseau enrolled in Medicare?

Yes. Carl-philippe Rousseau is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Carl-philippe Rousseau was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.