Individual provider Active NPI

Joel Aloysius Ernster, M.D.

  • Otolaryngology Physician
  • Colorado Springs, CO
National Provider Identifier
1023017845
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
24647 Issued in CO
Practice address
3030 N Circle Dr
Ste 300
Colorado Springs, CO 80909-1177
Phone
(719) 867-7800
Fax
(719) 867-7899
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 24647 CO Primary

Addresses

Primary practice location

3030 N Circle Dr
Ste 300
Colorado Springs, CO 80909-1177

Mailing address

PO Box 9190
Colorado Springs, CO 80932-0190
Phone (719) 867-7800

Other identifiers 1

IdentifierTypeStateIssuer
01246479MedicaidCO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100304001009 CO Practitioner - Otolaryngology 1951293117 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24647COMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Otolaryngology Associates, LLC CurrentSince Jun 1, 1995 Accepting new patients

Locations

3030 N Circle Dr
Ste 300
Colorado Springs, CO 80909
Phone (719) 373-1289

6031 E Woodmen Rd
Ste 300
Colorado Springs, CO 80923
Phone (719) 484-8626

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1023017845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9190",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809320190",
            "telephone_number": "719-867-7800",
            "fax_number": "719-867-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 N CIRCLE DR",
            "address_2": "STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091177",
            "telephone_number": "719-867-7800",
            "fax_number": "719-867-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERNSTER",
        "first_name": "JOEL",
        "middle_name": "ALOYSIUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CO",
            "license": "24647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01246479",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.