NPIMap

Individual provider Active NPI

Sameerah A. Wong, M.D.

  • Family Medicine Physician
  • Highlands Ranch, CO
National Provider Identifier
1164569422
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
47472 Issued in CO
Practice address
9285 Hepburn St
Highlands Ranch, CO 80129-2262
Phone
(303) 338-4545
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 47472 CO Primary

Addresses

Primary practice location

9285 Hepburn St
Highlands Ranch, CO 80129-2262

Mailing address

9285 Hepburn St
Highlands Ranch, CO 80129-2262
Phone (303) 338-4545

Other identifiers 2

IdentifierTypeStateIssuer
011067OtherCOKAISER COMMERCIAL NUMBER
71901281MedicaidCO

Other names 1

  • Sameerah A Al-Bata'a-de-Montero Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MN, TX3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20091027000766 CO Practitioner - Family Practice 9234276007 Reassigns benefits to 1 organization
I20230614002097 MN Practitioner - Family Practice 9234276007 Reassigns benefits to 1 organization
I20231129002585 TX Practitioner - Family Practice 9234276007

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Intermountain Medical Group Denver LLCGroup PAC ID 0840513552, 571 clinicians

Practice addresses (Care Compare)

Broomfield, CO 80021
Phone (720) 807-4461

21750 E Quincy Ave
Copperleaf Clinic Primary Care
Aurora, CO 80015-2894
Phone (303) 812-6880

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

Hospital & facility affiliations

  • Saint Joseph Hospital Hospital, Denver, CO, CCN 060028
  • AdventHealth Parker Hospital, Parker, CO, CCN 060114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47472COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Feb 24, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Feb 24, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC Family Medicine Current Accepting new patients

Locations

21750 E Quincy Ave
Aurora, CO 80015
Phone (303) 812-5173

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1164569422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9285 HEPBURN ST",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292262",
            "telephone_number": "303-338-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9285 HEPBURN ST",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292262",
            "telephone_number": "303-338-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "SAMEERAH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "47472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "011067",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71901281",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMEERAH",
            "last_name": "AL-BATA'A-DE-MONTERO",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.