NPIMap

Individual provider Active NPI

John William Tillett, M.D.

  • Urology Physician
  • Denver, CO
National Provider Identifier
1003090382
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
DR.56872 Issued in CO
Practice address
850 E Harvard Ave Ste 305
Denver, CO 80210-5076
Phone
(303) 825-8822
Fax
(303) 825-4022
NPI assigned
Dec 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME101754 FL
Urology Physician 208800000X DR.56872 CO Primary

Addresses

Primary practice location

850 E Harvard Ave Ste 305
Denver, CO 80210-5076

Mailing address

850 E Harvard Ave Ste 305
Denver, CO 80210-5076
Phone (303) 825-8822

Other practice location 1

2777 Mile High Stadium Cir
Denver, CO 80211-5222
Phone (303) 825-8822

Other identifiers 8

IdentifierTypeStateIssuer
9377632OtherFLAETNA
149XJOtherFLBCBS OF FL
0028405-00MedicaidFL
1976114OtherFLCIGNA
P1002313OtherFLFREEDOM HEALTH
10Y538OtherFLHEALTHY KIDS
342733OtherFLAVMED
P01194994OtherFLRAILROAD MCR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160728002028 CO Practitioner - Urology 6305034398 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Emory University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trauma and Emergency Subspecialty Surgeons PLLCGroup PAC ID 1951559293, 27 clinicians
Portercare Adventist Health SystemGroup PAC ID 0941110886, 770 clinicians

Practice addresses (Care Compare)

10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522
Phone (720) 225-1000

2525 S Downing St
Denver, CO 80210-5817

2535 D S Downing St
Suite 460
Denver, CO 80210-5817
Phone (303) 744-1065

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

501 E Hamden Ave
Englewood, CO 80113-2702
Phone (303) 788-5000

7700 S Broadway
Littleton, CO 80122-2602
Phone (303) 730-8900

7750 S Broadway
260 South Denver Neurosurgery
Littleton, CO 80122-2623
Phone (303) 734-8650

850 E Harvard Ave
Suite 305
Denver, CO 80210-5076
Phone (303) 825-8822

9395 Crown Crest Blvd
Parker, CO 80138-8573
Phone (303) 269-4975

Hospital & facility affiliations

  • AdventHealth Porter Hospital, Denver, CO, CCN 060064
  • AdventHealth Littleton Hospital, Littleton, CO, CCN 060113
  • AdventHealth Parker Hospital, Parker, CO, CCN 060114
  • HCA-Healthone Dba Swedish Medical Center Hospital, Englewood, CO, CCN 060034
  • Adventhealth Castle Rock Hospital, Castle Rock, CO, CCN 060125
  • Craig Hospital Long-term care hospital, Englewood, CO, CCN 062011

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.56872COMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Urology Center of Colorado PC Urology CurrentSince Aug 1, 2016 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System Urology CurrentSince Aug 18, 2024 Accepting new patients
The Urology Center of Colorado, P.C. Urology CurrentSince Aug 1, 2016 Accepting new patients
Trauma and Emergency Subspecialty Surgeons PLLC CurrentSince Aug 1, 2024 Accepting new patients
Portercare Adventist Health System CurrentSince Aug 18, 2024 Accepting new patients
Portercare Adventist Health System Past Accepting new patients
Rockledge Hma Medical Group, LLC Past Accepting new patients

Locations

2352 Meadows Blvd
Ste 300
Castle Rock, CO 80109
Phone (303) 744-1961

8540 Scarborough Dr
Ste 300
Colorado Springs, CO 80920
Phone (719) 550-8846

950 E Harvard Ave
Ste 350
Denver, CO 80210
Phone (303) 722-9923

2777 Mile High Stadium Cir
Denver, CO 80211
Phone (303) 825-8822

850 E Harvard Ave
Ste 305
Denver, CO 80210
Phone (303) 778-5910

8200 E Belleview Ave
Ste 270E
Greenwood Village, CO 80111
Phone (303) 649-3710

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

9695 S Yosemite St
Ste 359
Lone Tree, CO 80124
Phone (303) 825-8822

9397 Crown Crest Blvd
Ste 201
Parker, CO 80138
Phone (303) 320-0699

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

Networks

  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO D-SNP
  • CO HMO

Interoperability endpoints

  • Direct secure messaging: jtillett3820201@adventhealth.direct-ci.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1003090382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 E HARVARD AVE STE 305",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105076",
            "telephone_number": "303-825-8822",
            "fax_number": "303-825-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E HARVARD AVE STE 305",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105076",
            "telephone_number": "303-825-8822",
            "fax_number": "303-825-4022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2777 Mile High Stadium Cir",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802115222",
            "country_code": "US",
            "telephone_number": "303-825-8822",
            "fax_number": "303-825-4022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLETT",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-22",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME101754",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CO",
            "license": "DR.56872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9377632",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "149XJ",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0028405-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1976114",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREEDOM HEALTH",
            "identifier": "P1002313",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY KIDS",
            "identifier": "10Y538",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "342733",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "P01194994",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.