Individual provider Active NPI

Lisa A Umphrey, MD

  • Hospitalist Physician
  • Aurora, CO
National Provider Identifier
1164622486
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
CDRH.0054586 Issued in CO
Practice address
13123 E 16TH Ave
Aurora, CO 80045-7106
Phone
(720) 777-1234
NPI assigned
Jul 24, 2007
Last updated
Aug 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 52353-20 WI
Hospitalist Physician 208M00000X CDRH.0054586 CO Primary
Pediatrics Physician 208000000X 68626 MN
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

13123 E 16TH Ave
Aurora, CO 80045-7106

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

4320 Diplomacy Dr Ste 2300
Anchorage, AK 99508-5925
Phone (907) 729-1000

Other practice location 2

Uw Hospital and Clinics
600 Highland Ave, H4/831
Madison, WI 53792-0001
Phone (608) 263-0572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210908001382 CO Practitioner - HospitalistPractitioner - Pediatric Medicine 8426273921 Reassigns benefits to 1 organization
I20240904004076 MT Practitioner - Pediatric Medicine 8426273921 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52353-20WIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic CurrentSince Aug 28, 2024 Accepting new patients
Children's Hospital Colorado Current Accepting new patients
Billings Clinic CurrentSince Aug 28, 2024 Accepting new patients
University Physicians Incorporated Pediatrics Current Accepting new patients
University Physicians, Incorporated CurrentSince Sep 1, 2021 Accepting new patients
University Physicians Incorporated CurrentSince Sep 1, 2021 Accepting new patients
Southcentral Foundation Past Accepting new patients
Billings Clinic Past Accepting new patients
Intermountain Front Range, Inc. Past Accepting new patients
University of Colorado Hospital Authority Past Accepting new patients
Saint Joseph Hospital, Inc Past Accepting new patients
Southcentral Foundation Past Accepting new patients
Good Samaritan Medical Center, LLC Past Accepting new patients

Locations

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

Dept 1061
Denver, CO 80256

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

Interoperability endpoints

  • Direct secure messaging: lumphrey6203@direct.childrenscolorado.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1164622486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13123 E 16TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457106",
            "telephone_number": "720-777-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4320 Diplomacy Dr Ste 2300",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995085925",
            "country_code": "US",
            "telephone_number": "907-729-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Uw Hospital and Clinics",
            "address_2": "600 Highland Ave, H4/831",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537920001",
            "country_code": "US",
            "telephone_number": "608-263-0572",
            "fax_number": "608-263-9830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UMPHREY",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "52353-20",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "CDRH.0054586",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "68626",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.