Active NPI
W Peter Vellman, MD
- Emergency Medicine Physician
- Lakewood, CO
National Provider Identifier
1265405930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 24110
- Practice address
- 11600 W 2ND PL
St. Anthony Hospital, Emergency Dept.
Lakewood, CO 80228-1527 - Phone
- (720) 321-4161
- Fax
- (720) 321-4165
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 24110 | CO | Primary |
Addresses
Primary practice location
11600 W 2ND PL
St. Anthony Hospital, Emergency Dept.
Lakewood, CO 80228-1527
Mailing address
PO Box 5788
Denver, CO 80217-5788
Phone (303) 202-1280
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | NE | |
| Z3272 | Medicaid | UT | |
| 203206023101 | Other | PACIFICARE SECURE HORIZONS | |
| 122713100 | Medicaid | WY | |
| 610854400 | Other | US DEPARTMENT OF LABOR | |
| P00181908 | Other | RR MEDICARE | |
| 129035 | Medicaid | AZ | |
| 200390020A | Medicaid | KS | |
| 01241108 | Medicaid | CO | |
| S2054 | Medicaid | NM |
Other names 1
- William P Vellman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24110 | CO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serio South Carolina, LLC | Emergency Medicine | Past | Accepting new patients |
| Apex Emergency Group, Inc | Emergency Medicine | Past | Accepting new patients |
| Stadium Medical, Inc. | Past | Accepting new patients |
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.
-
- Emergency Medicine Physician
- Lakewood, CO
- NPI 1740231356
-
- Public Health or Welfare Agency
- Denver, CO
- NPI 1619279338
-
- Emergency Medicine Physician
- Columbia, SC
- NPI 1699006593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1265405930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5788",
"city": "DENVER",
"state": "CO",
"postal_code": "802175788",
"telephone_number": "303-202-1280",
"fax_number": "303-202-1281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11600 W 2ND PL",
"address_2": "ST. ANTHONY HOSPITAL, EMERGENCY DEPT.",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802281527",
"telephone_number": "720-321-4161",
"fax_number": "720-321-4165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELLMAN",
"first_name": "W",
"middle_name": "PETER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "24110",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z3272",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE SECURE HORIZONS",
"identifier": "203206023101",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122713100",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPARTMENT OF LABOR",
"identifier": "610854400",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00181908",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129035",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200390020A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01241108",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "S2054",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "WILLIAM",
"last_name": "VELLMAN",
"middle_name": "P",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.