Active NPI
Tiffany A Von Wald, M.D.
- Reproductive Endocrinology Physician
- Lone Tree, CO
National Provider Identifier
1093825408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 49434
- Practice address
- 10290 Ridgegate Cir
Lone Tree, CO 80124-5331 - Phone
- (303) 788-8300
- Fax
- (303) 788-8310
- NPI assigned
- Aug 30, 2006
- Last updated
- Dec 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | 8677 | SD | |
| Reproductive Endocrinology Physician | 207VE0102X | 49434 | CO | Primary |
Addresses
Primary practice location
10290 Ridgegate Cir
Lone Tree, CO 80124-5331
Mailing address
10290 Ridgegate Cir
Lone Tree, CO 80124-5331
Phone (303) 788-8300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.78 of 100
- Quality
- 78.77
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49434 | CO | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Clinic | Current | Accepting new patients | |
| Sanford Clinic | Current | Accepting new patients | |
| Emergency Services, PA | Past | Accepting new patients | |
| William B. Schoolcraft M.D. P.C | Reproductive Endocrinology | Past | Accepting new patients |
Locations
701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141
Interoperability endpoints
- tiffany.von.wald.1@17469.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Sioux Falls, SD
- NPI 1144259052
-
dba Colorado Center for Reproductive Medicine
- Reproductive Endocrinology Physician
- Lone Tree, CO
- NPI 1821292582
-
- Emergency Medicine Physician
- Wichita, KS
- NPI 1629028881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1093825408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10290 RIDGEGATE CIR",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801245331",
"telephone_number": "303-788-8300",
"fax_number": "303-788-8310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10290 RIDGEGATE CIR",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801245331",
"telephone_number": "303-788-8300",
"fax_number": "303-788-8310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VON WALD",
"first_name": "TIFFANY",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "SD",
"license": "8677",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "CO",
"license": "49434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lone Tree, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.