Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Roddy

Individual provider Physician Assistant · NPI 1972186161

Jacob Roddy is a Physician Assistant in Englewood, Colorado. Qualified in 2022, 4 years ago. Practices with University Physicians Incorporated, a 3,148-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
4
Licensed in
CO
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

175 Inverness Dr W Ste 200
Englewood, CO 80112-5069
Phone: (720) 848-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13001 E 17th Pl, Aurora, CO 80045-2570 — (303) 724-7963

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA.0007444 (CO)
Physician Assistant Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1972186161
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 4, 2021
Last updated in NPPESOctober 14, 2022
Certification dateOctober 14, 2022
Mailing addressPo Box 110429, Aurora, CO 80042-0429

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice University Physicians Incorporated — 3148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Englewood