Individual provider Active NPI

Eric Ballman

  • Surgery Physician
  • Denver, CO
National Provider Identifier
1467913772
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DR.0066158 Issued in CO
Practice address
4545 E 9TH Ave Ste 120
Denver, CO 80220-3902
Phone
(303) 388-2922
Fax
(303) 388-2962
NPI assigned
Mar 28, 2019
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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 DR.0066158 CO Primary

Addresses

Primary practice location

4545 E 9TH Ave Ste 120
Denver, CO 80220-3902

Mailing address

4545 E 9TH Ave Ste 120
Denver, CO 80220-3902
Phone (303) 388-2922

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
I20241007003267 CO Practitioner - General Surgery 4789115361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Liberty Univ College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthone Clinic Services - Bariatric Medicine LLCGroup PAC ID 2163564006, 13 clinicians

Practice addresses (Care Compare)

4545 E 9TH Ave
Suite 120
Denver, CO 80220-3902
Phone (303) 388-2922

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0066158COMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services - Bariatric Medicine LLC CurrentSince Oct 23, 2024 Accepting new patients
HCA Healthone LLC Past Accepting new patients

Locations

4545 E 9th Ave
Ste 120
Denver, CO 80220
Phone (303) 393-8050

4600 Hale Pkwy
Ste 340
Denver, CO 80220
Phone (303) 322-0500

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: eric.ballman@hca3.eclinicaldirectplus.com

Organizations & group practices 2

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1467913772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 E 9TH AVE STE 120",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203902",
            "telephone_number": "303-388-2922",
            "fax_number": "303-388-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 E 9TH AVE STE 120",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203902",
            "telephone_number": "303-388-2922",
            "fax_number": "303-388-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLMAN",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0066158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.