Active NPI
Douglas Mark Ikelheimer, MD
- Psychiatry Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101259575
- Practice address
- 777 Bannock St
MC 7782
Denver, CO 80204-4507 - Phone
- (303) 436-6000
- NPI assigned
- Aug 16, 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 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | C163816 | CA | |
| Addiction Psychiatry Physician | 2084P0802X | MD453478 | PA | |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 036136893 | IL | |
| Psychiatry Physician | 2084P0800X | MD453478 | PA | |
| Psychiatry Physician | 2084P0800X | 036136893 | IL | |
| Addiction Psychiatry Physician | 2084P0802X | 0101259575 | VA | |
| Psychiatry Physician | 2084P0800X | 0101259575 | VA | Primary |
| Psychiatry Physician | 2084P0800X | 40353 | CO | |
| Psychiatry Physician | 2084P0800X | C1-0011239 | DE | |
| Psychiatry Physician | 2084P0800X | 76822 | WI |
Addresses
Primary practice location
777 Bannock St
MC 7782
Denver, CO 80204-4507
Mailing address
777 Bannock St
MC 7782
Denver, CO 80204-4507
Other practice location 1
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-1200
Other practice location 2
424 Savannah Rd
Lewes, DE 19958-1462
Phone (302) 645-3499
Other practice location 3
205 S Front St Fl 5
Harrisburg, PA 17104-1619
Phone (717) 231-8360
Other practice location 4
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-3465
Other practice location 5
1020 First Colonial Rd Ste A
Virginia Beach, VA 23454-3078
Phone (757) 395-1850
Other practice location 6
1500 Commonwealth Ave
Williamsburg, VA 23185-5229
Phone (757) 585-2250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05722730 | Medicaid | CO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dikelheimer170585@phsdirect.pinnaclehealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, NC, WA, MT, IL, NJ, VA, FL, CA, DE, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 11
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Bayhealth Medical Center, Inc
Practice addresses (Care Compare)
100 E Le Fevre Rd
Sterling, IL 61081-1278
Phone (815) 625-0400
100 E Lefevre Rd
Sterling, IL 61081-1278
1809 Locust St
Sterling, IL 61081-1101
Phone (815) 622-1210
21808 State Rd
Suite 54
Lutz, FL 33549-6923
Phone (727) 281-9065
424 Savannah Rd
Lewes, DE 19958-1462
Phone (302) 645-3525
618 Hospital Rd
Tappahannock, VA 22560-5000
Phone (804) 443-3311
640 S State St
Dover, DE 19901-3530
Phone (302) 744-4700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C163816 | CA | MD | Psychiatry Physician |
| 40353 | CO | MD | Psychiatry Physician |
| C1-0011239 | DE | MD | Psychiatry Physician |
| 036136893 | IL | MD | Psychiatry Physician |
| MD453478 | PA | MD | Psychiatry Physician |
| 0101259575 | VA | MD | Addiction Psychiatry Physician |
Practice roles (60 of 66)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shenandoah Memorial Hospital, Inc. | Current | Accepting new patients | |
| SCL Health Montana | Current | Accepting new patients | |
| Beebe Physician Network Inc. | Current | Accepting new patients | |
| Centra Medical Group. LLC | Current | Accepting new patients | |
| Shenandoah Memorial Hospital, Inc. | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Sentara Medical Group | Neurology | Current | Accepting new patients |
| Shenandoah Memorial Hospital Inc. | Psychiatry | Current | Accepting new patients |
| Cedars-Sinai Medical Center | Current | Accepting new patients | |
| West Central Pathology Specialists, S.C. | Current | Accepting new patients | |
| Sidney Health Center | Current | Accepting new patients | |
| The Monroe Clinic, Inc. | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc. | Current | Accepting new patients | |
| Page Memorial Hospital, Inc. | Current | Accepting new patients | |
| Quincy Clinical Laboratory Services SC | Current | Accepting new patients | |
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| Mission Health Community Multispecialty Providers, LLC | Current | Accepting new patients | |
| SCL Health Montana | Current | Accepting new patients | |
| Baycare Behavioral Health Associates LLC | Psychiatry | Current | Accepting new patients |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Winchester Medical Center | Neurology | Current | Accepting new patients |
| Martin Luther King Jr Community Medical Foundation | Neurology | Current | Accepting new patients |
| Sidney Health Center | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc. | Neurology | Current | Accepting new patients |
| Bayhealth Medical Center, Inc | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Center for Family Guidance, PC | Psychiatry | Current | Accepting new patients |
| Warren Memorial Hospital, Inc. | Psychiatry | Current | Accepting new patients |
| Baycare Behavioral Health Associates LLC | Psychiatry | Current | Accepting new patients |
| CMH Physician Services, LLC | Current | Accepting new patients | |
| Winchester Medical Center | Psychiatry | Current | Accepting new patients |
| SCL Health Montana | Current | Accepting new patients | |
| Cedars-Sinai Medical Center | Current | Accepting new patients | |
| Fornance Physician Services, Inc | Current | Accepting new patients | |
| Winchester Medical Center | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Tri-State Memorial Hospital | Current | Accepting new patients | |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc. | Current | Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| Warren Memorial Hospital, Inc. | Current | Accepting new patients | |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| CMH Physician Services, LLC | Addiction Medicine | Current | Accepting new patients |
| Sidney Health Center | Current | Accepting new patients | |
| The Monroe Clinic, Inc. | Current | Accepting new patients | |
| Page Memorial Hospital, Inc. | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| MCV Associated Physicians | Neurology | Current | Accepting new patients |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| Centra Medical Group, LLC | Current | Accepting new patients | |
| Martin Luther King Jr Community Medical Foundation | Current | Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients | |
| Tidalhealth Nanticoke, Inc | Current | Accepting new patients | |
| Martin Luther King Jr Community Medical Foundation | Neurology | Current | Accepting new patients |
| Uva Community Health Medical Group, LLC | Current | Accepting new patients | |
| Mission Community Anesthesiology Specialists LLC | Current | Accepting new patients |
Locations (25 of 54)
2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
12021 Wilmington Ave
Bldg 11
Los Angeles, CA 90059
Phone (424) 338-8000
12021 Wilmington Ave
Ste 1000
Los Angeles, CA 90059
Phone (424) 296-3976
4650 Lincoln Blvd
Venice, CA 90292
Phone (310) 577-5505
8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291
640 S State St
Dover, DE 19901
Phone (302) 744-4700
424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078
32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302
801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178
21808 State Road 54
Lutz, FL 33549
Phone (727) 315-8612
4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300
6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611
3503 E Frontage Rd
Tampa, FL 33607
Phone (813) 586-8187
1005 Broadway St
Quincy, IL 62301
1809 Locust St
Sterling, IL 61081
Phone (815) 564-4002
1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850
216 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100
214 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100
1 Hospital Dr
Asheville, NC 28801
Phone (828) 213-1994
509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325
428 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-5253
333 Irving Ave
Bridgeton, NJ 08302
Phone (856) 575-4500
765 Route 70 E
Bldg A
Marlton, NJ 08053
Phone (856) 797-4721
254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453
Interoperability endpoints
- dikelheimer98943@direct.ahsys.org
- dikelheimer19862@cghmc.direct-ci.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- dikelheimer519484@direct.healthsystem.virginia.edu
- https://fhir.blessinghospital.com/R4/open-Prod
- douglas.ikelheimer.p1@direct.cfg.nextgenshare.com
Organizations & group practices 66
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.
-
- Psychiatry Physician
- Lutz, FL
- NPI 1245502152
-
- Internal Medicine Physician
- Lewes, DE
- NPI 1730133992
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
-
- General Acute Care Hospital
- Milford, DE
- NPI 1023006434
-
- General Acute Care Hospital
- Dover, DE
- NPI 1467546135
-
- Multi-Specialty Clinic/Center
- Quincy, IL
- NPI 1114471737
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- Geriatric Psychiatry Physician
- Marlton, NJ
- NPI 1508803388
-
- Family Medicine Physician
- Lynchburg, VA
- NPI 1649228966
-
- Internal Medicine Physician
- South Hill, VA
- NPI 1194760645
Addiction Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763078400000",
"number": "1508979519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 BANNOCK ST",
"address_2": "MC 7782",
"city": "DENVER",
"state": "CO",
"postal_code": "802044507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 BANNOCK ST",
"address_2": "MC 7782",
"city": "DENVER",
"state": "CO",
"postal_code": "802044507",
"telephone_number": "303-436-6000"
}
],
"practiceLocations": [
{
"address_1": "1005 Broadway St",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "IL",
"postal_code": "623012834",
"country_code": "US",
"telephone_number": "217-223-1200",
"fax_number": "217-224-9383",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "424 Savannah Rd",
"address_purpose": "LOCATION",
"city": "Lewes",
"state": "DE",
"postal_code": "199581462",
"country_code": "US",
"telephone_number": "302-645-3499",
"fax_number": "302-644-4830",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "205 S Front St Fl 5",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171041619",
"country_code": "US",
"telephone_number": "717-231-8360",
"fax_number": "717-231-8358",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8700 Beverly Blvd",
"address_purpose": "LOCATION",
"city": "West Hollywood",
"state": "CA",
"postal_code": "900481804",
"country_code": "US",
"telephone_number": "310-423-3465",
"fax_number": "310-423-8397",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1020 First Colonial Rd Ste A",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234543078",
"country_code": "US",
"telephone_number": "757-395-1850",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 Commonwealth Ave",
"address_purpose": "LOCATION",
"city": "Williamsburg",
"state": "VA",
"postal_code": "231855229",
"country_code": "US",
"telephone_number": "757-585-2250",
"fax_number": "757-903-2285",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IKELHEIMER",
"first_name": "DOUGLAS",
"middle_name": "MARK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C163816",
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "PA",
"license": "MD453478",
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "IL",
"license": "036136893",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD453478",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036136893",
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "VA",
"license": "0101259575",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101259575",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "40353",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DE",
"license": "C1-0011239",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "76822",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05722730",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dikelheimer170585@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"address_1": "205 S Front St Fl 5",
"city": "Harrisburg",
"state": "PA",
"country_code": "US",
"postal_code": "171041619",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 14, 2025; 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.