Active NPI
Ethan Frederick Stortz, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- DR.0065671
- Practice address
- 777 Bannock St
Denver, CO 80204-4597 - Phone
- (303) 436-4949
- NPI assigned
- Apr 12, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 64599 | MN | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | DR.0065671 | CO | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | DR.0065671 | CO | Primary |
Addresses
Primary practice location
777 Bannock St
Denver, CO 80204-4597
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Other practice location 1
12801 East 17th Avenue
Mail Stop 8106
Aurora, CO 80045
Phone (303) 724-8098
Other practice location 2
12605 E 16th Ave
Aurora, CO 80045-2545
Phone (720) 848-0000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Cooper Medical School of Rowan University, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12605 E 16TH Ave
Uchealth Anschutz Medical Campus
Aurora, CO 80045-2545
Phone (720) 848-0000
777 Bannock St
Denver, CO 80204-4507
Phone (303) 436-6000
Hospital & facility affiliations
- Denver Health & Hospital Authority
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64599 | MN | MD | Internal Medicine Physician |
| DR.0065671 | CO | MD | Addiction Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians Incorporated | Current | Accepting new patients | |
| University Physicians Incorporated | Internal Medicine | Current | Accepting new patients |
| University Physicians, Incorporated | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Denver Health and Hospital Authority | 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
Dept 1061
Denver, CO 80256
777 Bannock St
Denver, CO 80204
777 Bannock St
#1923
Denver, CO 80204
Phone (303) 602-2720
Interoperability endpoints
- estortz252423@direct.dhha.org
- ethan.stortz@hca3.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- General Practice Physician
- Denver, CO
- NPI 1477569838
-
- Internal Medicine Physician
- Aurora, CO
- NPI 1962461889
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
-
- Obstetrics & Gynecology Physician
- Denver, CO
- NPI 1275987786
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1275045049
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Emergency Care Clinic/Center
- Winter Park, CO
- NPI 1467762435
Hospital
-
- General Acute Care Hospital
- Denver, CO
- NPI 1689624686
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1386178762",
"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": "777 BANNOCK ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802044597",
"telephone_number": "303-436-4949"
}
],
"practiceLocations": [
{
"address_1": "12801 East 17th Avenue",
"address_2": "Mail Stop 8106",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "80045",
"country_code": "US",
"telephone_number": "303-724-8098",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12605 E 16th Ave",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800452545",
"country_code": "US",
"telephone_number": "720-848-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STORTZ",
"first_name": "ETHAN",
"middle_name": "FREDERICK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-12",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "64599",
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "CO",
"license": "DR.0065671",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CO",
"license": "DR.0065671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.