Active NPI
Philip Adam Stull, MD
- Orthopaedic Surgery Physician
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 32864
- Practice address
- 1411 S Potomac St
Ste 400
Aurora, CO 80012 - Phone
- (303) 695-6060
- Fax
- (303) 369-7776
- NPI assigned
- Apr 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 32864 | CO | Primary |
Addresses
Primary practice location
1411 S Potomac St
Ste 400
Aurora, CO 80012
Mailing address
1411 S Potomac St
Ste 400
Aurora, CO 80012
Phone (303) 695-6060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01328640 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Yale University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 W Hampden PL
220 Colorado Orthopedic Consultants
Englewood, CO 80110-2471
Phone (303) 695-6060
Merit-based Incentive Payment System (MIPS)
- Final score
- 43.24 of 100
- Quality
- 73.53
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 70.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32864 | CO | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Centers of Colorado, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopedic Centers of Colorado, LLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134
1411 S Potomac St
Ste 400
Aurora, CO 80012
Phone (303) 671-2140
145 Inverness Dr E
Ste 300
Englewood, CO 80112
Phone (303) 696-6060
401 W Hampden Pl
Ste 220
Englewood, CO 80110
Phone (303) 685-2766
8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998
Networks
- CO HMO
- devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
- CO HMO D-SNP
Interoperability endpoints
- philipstull@occllc.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Denver, CO
- NPI 1801339502
-
- Orthopaedic Surgery Physician
- Superior, CO
- NPI 1336870856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1003873357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 S POTOMAC ST",
"address_2": "STE 400",
"city": "AURORA",
"state": "CO",
"postal_code": "80012",
"telephone_number": "303-695-6060",
"fax_number": "303-369-7776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 S POTOMAC ST",
"address_2": "STE 400",
"city": "AURORA",
"state": "CO",
"postal_code": "80012",
"telephone_number": "303-695-6060",
"fax_number": "303-369-7776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STULL",
"first_name": "PHILIP",
"middle_name": "ADAM",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CO",
"license": "32864",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01328640",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.