Individual provider Active NPI

Sheila Antony, MD

  • Internal Medicine Physician
  • Glendale, CO
National Provider Identifier
1083989339
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR.0056174 Issued in CO
Practice address
4100 E Mississippi Ave Ste 110
Glendale, CO 80246-3051
Phone
(303) 552-9522
Fax
(415) 252-7176
NPI assigned
Mar 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 53936 CT
Internal Medicine Physician 207R00000X 1015960 MA
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X DR.0056174 CO Primary
Internal Medicine Physician 207R00000X 2023-02543 NC
Internal Medicine Physician 207R00000X 90557 GA
Internal Medicine Physician 207R00000X 61325 AZ
Internal Medicine Physician 207R00000X MD61172776 WA
Internal Medicine Physician 207R00000X T6182 TX

Addresses

Primary practice location

4100 E Mississippi Ave Ste 110
Glendale, CO 80246-3051

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723

Other practice location 1

1070 Iyannough Rd
Hyannis, MA 02601-1871
Phone (508) 948-3400

Other practice location 2

3527 Memorial Dr Unit W
Decatur, GA 30032-2731
Phone (404) 573-4844

Other practice location 3

1719 N Dysart Rd
Avondale, AZ 85392-1213
Phone (623) 232-3322

Other practice location 4

306 23rd Ave S Ste 200
Seattle, WA 98144-2371
Phone (206) 518-9058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, AZ, WA, GA, TX, MA, NC7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20170505000727 CO Practitioner - Internal Medicine 7810281003 Reassigns benefits to 2 organizations
I20200728004059 AZ Practitioner - Internal Medicine 7810281003 Reassigns benefits to 1 organization
I20211214000834 WA Practitioner - Internal Medicine 7810281003 Reassigns benefits to 2 organizations
I20211215000579 GA Practitioner - Internal Medicine 7810281003 Reassigns benefits to 2 organizations
I20220510001321 TX Practitioner - Internal Medicine 7810281003 Reassigns benefits to 1 organization
I20240805001985 MA Practitioner - Internal Medicine 7810281003 Reassigns benefits to 1 organization
I20240906000405 NC Practitioner - Internal Medicine 7810281003 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61325AZMDInternal Medicine Physician
DR.0056174COMDInternal Medicine Physician
53936CTMDInternal Medicine Physician
90557GAMDInternal Medicine Physician
1015960MAMDInternal Medicine Physician
2023-02543NCMDInternal Medicine Physician
T6182TXMDInternal Medicine Physician
MD61172776WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Senior Health, LLC Internal Medicine Current Accepting new patients
Iora Senior Health, LLC Internal Medicine CurrentSince Oct 28, 2021 Accepting new patients
Iora Health Georgia, P.C. Internal Medicine CurrentSince Oct 28, 2021 Accepting new patients
Iora Health Colorado, P.C. Internal Medicine CurrentSince Sep 18, 2017 Accepting new patients
Iora Senior Health, LLC Internal Medicine CurrentSince Sep 10, 2021 Accepting new patients
Iora Health Texas, PLLC Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
One Medical, P.C. Internal Medicine Current Accepting new patients
Iora Senior Health, LLC Internal Medicine CurrentSince Aug 17, 2020 Accepting new patients
Iora Senior Health, LLC Internal Medicine CurrentSince Aug 31, 2024 Accepting new patients
Iora Health Massachusetts, P.C. Internal Medicine Current Accepting new patients
Iora Senior Health, LLC Internal Medicine Current Accepting new patients
One Medical, P.C. Internal Medicine CurrentSince Jun 3, 2024 Accepting new patients
Iora Health Colorado, P.C. Internal Medicine CurrentSince Sep 18, 2017 Accepting new patients
Iora Health Massachusetts, P.C. Internal Medicine CurrentSince Jun 3, 2024 Accepting new patients
Iora Health Washington Physicians, P.C. Internal Medicine CurrentSince Sep 10, 2021 Accepting new patients
Iora Health Georgia, P.C. Internal Medicine CurrentSince Oct 28, 2021 Accepting new patients
Iora Senior Health, LLC Internal Medicine Current Accepting new patients
Iora Health Washington Physicians, P.C. Internal Medicine CurrentSince Sep 10, 2021 Accepting new patients
Iora Health Georgia, P.C. Internal Medicine Current Accepting new patients
Iora Health Texas, PLLC Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Iora Health Washington Physicians, P.C. Internal Medicine Current Accepting new patients
Iora Health Massachusetts, P.C. Internal Medicine CurrentSince Jun 3, 2024 Accepting new patients
Iora Health Texas, PLLC Internal Medicine PastSince Oct 12, 2025 Accepting new patients
Iora Health, LLC Internal Medicine Past Accepting new patients

Locations

1719 N Dysart Rd
Avondale, AZ 85392
Phone (623) 232-3322

3137 W Indian School Rd
Phoenix, AZ 85017
Phone (602) 325-5570

3202 E Greenway Rd
Ste 1401
Phoenix, AZ 85032
Phone (602) 325-5577

8616 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 468-4809

3902 E Grant Rd
Tucson, AZ 85712
Phone (520) 468-4801

1 Embarcadero Ctr
Fl 19
San Francisco, CA 94111
Phone (415) 814-0927

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

8175 Sheridan Blvd
Unit N
Arvada, CO 80003
Phone (303) 557-0855

1080 S Sable Blvd
Unit 18
Aurora, CO 80012
Phone (303) 552-9577

4100 E Mississippi Ave
Ste 110
Glendale, CO 80246
Phone (303) 552-9522

3527 Memorial Dr
Unit W
Decatur, GA 30032
Phone (404) 573-4844

101 Tremont St
Fl 6
Boston, MA 02108

1070 Route 132
Hyannis, MA 02601
Phone (508) 771-9701

1070 Iyannough Rd
Ste I10
Hyannis, MA 02601
Phone (508) 948-3400

3351 Battleground Ave
Greensboro, NC 27410
Phone (336) 645-7900

274 Eastchester Dr
Ste 120
High Point, NC 27262
Phone (336) 542-2992

4414 North Fwy
Ste 300
Houston, TX 77022
Phone (713) 589-8643

9440A Highway 6 S
Houston, TX 77083
Phone (281) 408-4488

1414 S 324th St
Ste B207
Federal Way, WA 98003
Phone (253) 220-3121

3705 S Meridian
Ste B
Puyallup, WA 98373
Phone (253) 765-5050

64 Rainier Ave S
Ste I
Renton, WA 98057
Phone (425) 224-2144

306 23rd Ave S
Ste 200
Seattle, WA 98144
Phone (206) 518-9033

15214 Aurora Ave N
Shoreline, WA 98133
Phone (206) 518-9021

5006 Center St
Ste R
Tacoma, WA 98409
Phone (253) 275-0200

Organizations & group practices 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1083989339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "fax_number": "415-252-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 E MISSISSIPPI AVE STE 110",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802463051",
            "telephone_number": "303-552-9522",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1070 Iyannough Rd",
            "address_purpose": "LOCATION",
            "city": "Hyannis",
            "state": "MA",
            "postal_code": "026011871",
            "country_code": "US",
            "telephone_number": "508-948-3400",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3527 Memorial Dr Unit W",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300322731",
            "country_code": "US",
            "telephone_number": "404-573-4844",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1719 N Dysart Rd",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "853921213",
            "country_code": "US",
            "telephone_number": "623-232-3322",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "306 23rd Ave S Ste 200",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981442371",
            "country_code": "US",
            "telephone_number": "206-518-9058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTONY",
        "first_name": "SHEILA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "53936",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "1015960",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0056174",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2023-02543",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "90557",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "61325",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD61172776",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T6182",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CO

Sources for this page

Verify at the official NPI Registry.