Individual provider Active NPI

Jillian M Ciocchetti, MD

  • Surgery Physician
  • Northglenn, CO
National Provider Identifier
1184899023
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
48354 Issued in CO
Practice address
11150 Huron St Ste 212
Northglenn, CO 80234-4378
Phone
(303) 457-6710
Fax
(720) 316-0481
NPI assigned
Apr 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 48354 CO Primary

Addresses

Primary practice location

11150 Huron St Ste 212
Northglenn, CO 80234-4378

Mailing address

11150 Huron St Ste 212
Northglenn, CO 80234-4378
Phone (303) 457-6710

Other names 1

  • Jillian M Polis 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
I20111109000377 CO Practitioner - General Surgery 6204009137 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48354COMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montrose Memorial Hospital, Inc CurrentSince Dec 24, 2023 Accepting new patients
Saint Joseph Hospital Inc Surgery CurrentSince May 30, 2017 Accepting new patients
Platte Valley Medical Group LLC CurrentSince Feb 1, 2020 Accepting new patients
Saint Joseph Hospital, Inc Surgery Current Accepting new patients
Saint Joseph Hospital, Inc CurrentSince May 30, 2017 Accepting new patients
Montrose Memorial Hospital, Inc Current Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince Jun 1, 2024 Accepting new patients
Montrose Memorial Hospital, Inc CurrentSince Dec 24, 2023 Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Feb 1, 2020 Accepting new patients
Healthone Clinic Services-Surgical Specialties LLC Surgery CurrentSince Oct 3, 2011 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince Jun 1, 2024 Accepting new patients
Front Range Surgical Associates,P.C. Surgery Past Accepting new patients

Locations

1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

1960 N Ogden St
Ste 550
Denver, CO 80218
Phone (303) 318-1585

1960 N Ogden St
Ste 330
Denver, CO 80218
Phone (303) 318-2610

4809 Argonne St
Denver, CO 80249
Phone (303) 563-2784

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

11750 W 2nd Pl
Ste 360
Lakewood, CO 80228
Phone (720) 321-8470

800 S 3rd St
Montrose, CO 81401
Phone (970) 240-2211

9191 Grant St
Thornton, CO 80229
Phone (303) 246-5003

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1184899023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 HURON ST STE 212",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802344378",
            "telephone_number": "303-457-6710",
            "fax_number": "720-316-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 HURON ST STE 212",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802344378",
            "telephone_number": "303-457-6710",
            "fax_number": "720-316-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIOCCHETTI",
        "first_name": "JILLIAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "48354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "POLIS",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Northglenn, CO

Sources for this page

Verify at the official NPI Registry.