Individual provider Active NPI

Jill Michelle Dahlke Stovall, M.D.

  • Anesthesiology Physician
  • Denver, CO
National Provider Identifier
1104093848
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2431 Issued in CO
Practice address
University of Colorado School of Medicine
4200 E. 9TH Ave
Denver, CO 80262-0001
Phone
(303) 315-7424
NPI assigned
May 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2431 CO Primary

Addresses

Primary practice location

University of Colorado School of Medicine
4200 E. 9TH Ave
Denver, CO 80262-0001

Mailing address

University of Colorado School of Medicine
4200 E. 9TH Ave
Denver, CO 80262-0001
Phone (303) 315-7424

Other names 1

  • Dr. Jill Michelle Dahlke Former name

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
I20111103000437 CO Practitioner - Anesthesiology 0840463022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Colorado School of Medicine, Denver, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Anesthesia Services PCGroup PAC ID 7517947146, 112 clinicians

Practice addresses (Care Compare)

12911 W 40TH Ave
Golden, CO 80401-2696
Phone (303) 425-4500

Hospital & facility affiliations

  • Uchealth Highlands Ranch Hospital Hospital, Highlands Ranch, CO, CCN 060132
  • Intermountain Health Lutheran Hospital Hospital, Wheat Ridge, CO, CCN 060009

Merit-based Incentive Payment System (MIPS)

Final score
74.04 of 100Reported as group
Quality
48.8
Promoting interoperability
98
Improvement activities
40
Cost
66.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2431COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Digestive Health Specialists Inc CurrentSince May 30, 2023 Accepting new patients
Physician Anesthesia Services PC Anesthesiology CurrentSince Sep 1, 2011 Accepting new patients
Colorado Gastroenterology Prof LLC PastSince Feb 19, 2024 Accepting new patients

Locations

8155 E 1st Ave
Denver, CO 80230
Phone (303) 344-4844

4500 E 9th Ave
Ste 720S
Denver, CO 80220
Phone (303) 355-3525

4700 Hale Pkwy
Ste 200
Denver, CO 80220
Phone (303) 758-1175

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1104093848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF COLORADO SCHOOL OF MEDICINE",
            "address_2": "4200 E. 9TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802620001",
            "telephone_number": "303-315-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF COLORADO SCHOOL OF MEDICINE",
            "address_2": "4200 E. 9TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802620001",
            "telephone_number": "303-315-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVALL",
        "first_name": "JILL",
        "middle_name": "MICHELLE DAHLKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "2431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "DAHLKE",
            "middle_name": "MICHELLE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.