NPIMap

Individual provider Active NPI

Hayley Ennis, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Broomfield, CO
National Provider Identifier
1275995763
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
DR.0066702 Issued in CO
Practice address
875 W 136TH Ave
Broomfield, CO 80023-9303
Phone
(720) 848-0000
NPI assigned
Mar 23, 2016
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X DR.0066702 CO
Student in an Organized Health Care Education/Training Program 390200000X FL
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X DR.0066702 CO Primary

Addresses

Primary practice location

875 W 136TH Ave
Broomfield, CO 80023-9303

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

1611 NW 12th Ave
Miami, FL 33136-1005
Phone (337) 288-1515

Other practice location 2

2535 S Downing St Ste 100
Denver, CO 80210-5848
Phone (720) 524-1367

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210609001116 CO Practitioner - Orthopedic Surgery 1759781925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Miami, LM Miller School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

12605 E 16TH Ave
Uchealth Anschutz Medical Campus
Aurora, CO 80045-2545
Phone (720) 848-0000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement53
Knee replacement86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0066702COMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians Incorporated CurrentSince Sep 15, 2022 Accepting new patients
University Physicians, Incorporated Orthopaedic Surgery CurrentSince Sep 15, 2022 Accepting new patients
Portercare Adventist Health System CurrentSince Aug 1, 2021 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Aug 1, 2021 Accepting new patients
University Physicians Incorporated Orthopaedic Surgery Current Accepting new patients

Locations

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

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

11820 Destination Dr
Broomfield, CO 80021
Phone (303) 460-6000

875 W 136th Ave
Broomfield, CO 80023
Phone (303) 457-7700

2535 S Downing St
Ste 100
Denver, CO 80210
Phone (720) 524-1367

Dept 1061
Denver, CO 80256

175 Inverness Dr W
Ste 200
Englewood, CO 80112
Phone (303) 469-3182

175 Inverness Dr W
Ste 400
Englewood, CO 80112
Phone (720) 516-9916

1500 Park Central Dr
Ste 401
Highlands Ranch, CO 80129
Phone (720) 516-4085

1500 Park Central Dr
Littleton, CO 80129
Phone (720) 516-1000

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

1551 Professional Ln
Unit 200
Longmont, CO 80501
Phone (720) 718-8288

Organizations & group practices 6

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.

Hospital & facility affiliations 49

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

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1275995763",
    "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": "875 W 136TH AVE",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800239303",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "337-288-1515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2535 S Downing St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802105848",
            "country_code": "US",
            "telephone_number": "720-524-1367",
            "fax_number": "720-524-1422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENNIS",
        "first_name": "HAYLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "DR.0066702",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CO",
            "license": "DR.0066702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.