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

Yuri C Rothbaum, PA

Individual provider Emergency Medicine Physician · NPI 1831122068

Yuri C Rothbaum, PA is a Physician Assistant in Colorado Springs, Colorado. Qualified in 1998, 28 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
28
Licensed in
CO
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1400 E Boulder St
Colorado Springs, CO 80909
Phone: (719) 560-5656
Fax: (719) 560-4715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16420 W Us Highway 24, Woodland Park, CO 80863-8760 — (719) 687-9999

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0001060 (CO)
Emergency Medicine Physician Taxonomy 207P00000X · Licence PA.0001060 (CO)

Record details

NPI number1831122068
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 9, 2006
Last updated in NPPESMarch 7, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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