Individual provider Active NPI

Douglas Mark Ikelheimer, MD

  • Psychiatry Physician
  • Denver, CO
National Provider Identifier
1508979519
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101259575 Issued in VA
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

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
05722730MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
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, WI11 enrollments
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 11

Enrollment IDStateProvider typePAC IDDetails
I20041206000996 CO Practitioner - Psychiatry 1759347396 Reassigns benefits to 1 organization
I20140224001017 NC Practitioner - Psychiatry 1759347396 Reassigns benefits to 1 organization
I20150529002621 WA Practitioner - Psychiatry 1759347396 Reassigns benefits to 3 organizations
I20171201002744 MT Practitioner - Psychiatry 1759347396 Reassigns benefits to 3 organizations
I20181113001982 IL Practitioner - Psychiatry 1759347396 Reassigns benefits to 2 organizations
I20200402001117 NJ Practitioner - Psychiatry 1759347396 Reassigns benefits to 1 organization
I20210119001213 VA Practitioner - PsychiatryPractitioner - Neuropsychiatry 1759347396 Reassigns benefits to 9 organizations
I20220112001848 FL Practitioner - Psychiatry 1759347396 Reassigns benefits to 1 organization
I20220411002526 CA Practitioner - Psychiatry 1759347396 Reassigns benefits to 3 organizations
I20220420002024 DE Practitioner - Psychiatry 1759347396 Reassigns benefits to 4 organizations
I20220505000334 WI Practitioner - Psychiatry 1759347396 Reassigns benefits to 1 organization

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
CGH Medical CenterGroup PAC ID 6103723267, 199 clinicians
Baycare Behavioral Health Associates, LLCGroup PAC ID 2567624836, 97 clinicians
Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians
Bayhealth Medical Center, IncGroup PAC ID 1658364740, shared by 16 NPIs, 399 clinicians

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

LicenseStateTypeSpecialty
C163816CAMDPsychiatry Physician
40353COMDPsychiatry Physician
C1-0011239DEMDPsychiatry Physician
036136893ILMDPsychiatry Physician
MD453478PAMDPsychiatry Physician
0101259575VAMDAddiction Psychiatry Physician

Practice roles (60 of 66)

OrganizationSpecialtyStatusNew patients
Shenandoah Memorial Hospital, Inc. Current Accepting new patients
SCL Health Montana CurrentSince Dec 1, 2017 Accepting new patients
Beebe Physician Network Inc. CurrentSince Jul 10, 2025 Accepting new patients
Centra Medical Group. LLC CurrentSince Dec 1, 2021 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince Feb 14, 2024 Accepting new patients
Blessing Hospital Current Accepting new patients
Sentara Medical Group Neurology CurrentSince Jan 12, 2023 Accepting new patients
Shenandoah Memorial Hospital Inc. Psychiatry CurrentSince Feb 14, 2024 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Mar 1, 2024 Accepting new patients
West Central Pathology Specialists, S.C. Current Accepting new patients
Sidney Health Center CurrentSince Jun 21, 2021 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Apr 25, 2022 Accepting new patients
Bayhealth Medical Center, Inc. Current Accepting new patients
Page Memorial Hospital, Inc. CurrentSince Feb 14, 2024 Accepting new patients
Quincy Clinical Laboratory Services SC Current Accepting new patients
King County Public Hospital District No. 2 CurrentSince Jun 1, 2020 Accepting new patients
Mission Health Community Multispecialty Providers, LLC Current Accepting new patients
SCL Health Montana CurrentSince Dec 1, 2017 Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry CurrentSince Oct 9, 2021 Accepting new patients
King County Public Hospital District No 2 CurrentSince Jun 1, 2020 Accepting new patients
Blessing Hospital CurrentSince Jun 21, 2023 Accepting new patients
Winchester Medical Center Neurology CurrentSince Feb 14, 2024 Accepting new patients
Martin Luther King Jr Community Medical Foundation Neurology CurrentSince Apr 1, 2022 Accepting new patients
Sidney Health Center Current Accepting new patients
Bayhealth Medical Center, Inc. Neurology CurrentSince Jan 15, 2022 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Jan 15, 2022 Accepting new patients
Blessing Hospital CurrentSince Jun 21, 2023 Accepting new patients
Center for Family Guidance, PC Psychiatry CurrentSince Mar 1, 2020 Accepting new patients
Warren Memorial Hospital, Inc. Psychiatry CurrentSince Feb 14, 2024 Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry CurrentSince Oct 9, 2021 Accepting new patients
CMH Physician Services, LLC CurrentSince Dec 1, 2020 Accepting new patients
Winchester Medical Center Psychiatry Current Accepting new patients
SCL Health Montana Current Accepting new patients
Cedars-Sinai Medical Center CurrentSince Mar 1, 2024 Accepting new patients
Fornance Physician Services, Inc Current Accepting new patients
Winchester Medical Center CurrentSince Feb 14, 2024 Accepting new patients
Virginia Mason Medical Center Current Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Tri-State Memorial Hospital CurrentSince Nov 1, 2022 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince May 1, 2024 Accepting new patients
Bayhealth Medical Center, Inc. Current Accepting new patients
CGH Medical Center CurrentSince Nov 1, 2018 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Feb 14, 2024 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince May 1, 2024 Accepting new patients
CMH Physician Services, LLC Addiction Medicine Current Accepting new patients
Sidney Health Center CurrentSince Jun 21, 2021 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Apr 25, 2022 Accepting new patients
Page Memorial Hospital, Inc. CurrentSince Feb 14, 2024 Accepting new patients
Virginia Mason Medical Center CurrentSince Aug 9, 2021 Accepting new patients
MCV Associated Physicians Neurology CurrentSince Sep 14, 2021 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Centra Medical Group, LLC CurrentSince Dec 1, 2021 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Apr 1, 2022 Accepting new patients
CGH Medical Center CurrentSince Nov 1, 2018 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Jan 15, 2022 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Tidalhealth Nanticoke, Inc CurrentSince Dec 16, 2022 Accepting new patients
Martin Luther King Jr Community Medical Foundation Neurology Current Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Aug 1, 2022 Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Feb 5, 2019 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

  • Direct secure messaging: dikelheimer98943@direct.ahsys.org
  • Direct secure messaging: dikelheimer19862@cghmc.direct-ci.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: dikelheimer519484@direct.healthsystem.virginia.edu
  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod
  • Direct secure messaging: 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.

View all 66

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

Verify at the official NPI Registry.