ROBERT DELLAVALLE (MD) – Dermatology Physician, NPI 1003881756

ROBERT DELLAVALLE (MD) is a healthcare provider. based in Aurora, Colorado. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 36948 (CO). The NPI Number for ROBERT DELLAVALLE (MD) is 1003881756

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT DELLAVALLE (MD)
NPI
1003881756
Phone
(303) 493-7000
Address
PO BOX 110429
Enumeration Date
17 February 2006
Last Update Date
13 October 2012

Doctor Profile

Medical School Name
UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Secondary Phone
6126727422
Graduation Year
1996 (30 years ago)
PAC ID
6002942174
Group Practice PAC ID
3375645179
Professional Enrollment ID
I20240603002137
Address ID
MN554550363MI500XXSEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

364 DERMATOLOGY in CO

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Provider Addresses for ROBERT DELLAVALLE (MD)

  • PO BOX 110429

    AURORA, CO 800420429

    Phone: (303) 493-7000

    Type: Mailing

  • University of Colorado Hospital, 12605, East 16th Avenue, Aurora, Adams County, Colorado, 80045, United States

    AURORA, CO 800452545

    Phone: (720) 848-0000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240603002137IDermatologyMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80042)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375645179View full group profile
NameSpecialtyState
P A T H O L O G YMN
G A S T R O E N T E R O L O G YMN
N E U R O S U R G E R YOH
-MN
Physician AssistantMN
Physician AssistantMN
-MN
-MN
Physical Therapist In Private PracticeOR
Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

Is there an official ID for ROBERT DELLAVALLE (MD) in U.S. healthcare records?
The official identifier for ROBERT DELLAVALLE (MD) is NPI 1003881756.
Is ROBERT DELLAVALLE (MD) shown as active in public data?
Registry records indicate ROBERT DELLAVALLE (MD) maintains an active NPI.
What kind of doctor is ROBERT DELLAVALLE (MD)?
ROBERT DELLAVALLE (MD) is associated with Dermatology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with ROBERT DELLAVALLE (MD)?
Directory geography for ROBERT DELLAVALLE (MD) centers on Aurora, Colorado.
Can I trust this NPI listing for ROBERT DELLAVALLE (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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