Individual provider Active NPI

Matthew Ian Ehrlich, M.D.

  • Ophthalmology Physician
  • Glenwood Springs, CO
National Provider Identifier
1083625339
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
43386 Issued in CO
Practice address
1607 Grand Ave
31
Glenwood Springs, CO 81601-3873
Phone
(970) 928-0105
Fax
(970) 945-9793
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 43386 CO Primary

Addresses

Primary practice location

1607 Grand Ave
31
Glenwood Springs, CO 81601-3873

Mailing address

1607 Grand Ave
31
Glenwood Springs, CO 81601-3873
Phone (970) 928-0105

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
I20070112000370 CO Practitioner - Ophthalmology 6103729504

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.89 of 100Reported as apm
Quality
86.88
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
52.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43386COMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Center of the Rockies PC CurrentSince Apr 8, 2009 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Provision Laser Eye Center PA Past Accepting new patients
Botwin Eye Group PA PastSince Feb 8, 2010 Accepting new patients
Millennium Physician Group LLC Past Accepting new patients

Locations

1607 Grand Ave
Unit 31
Glenwood Springs, CO 81601
Phone (970) 928-0105

Interoperability endpoints

  • Direct secure messaging: vvh_him@direct.vvh.org

Organizations & group practices 5

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1083625339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 GRAND AVE",
            "address_2": "31",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816013873",
            "telephone_number": "970-928-0105",
            "fax_number": "970-945-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 GRAND AVE",
            "address_2": "31",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816013873",
            "telephone_number": "970-928-0105",
            "fax_number": "970-945-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRLICH",
        "first_name": "MATTHEW",
        "middle_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "43386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

Verify at the official NPI Registry.