Individual provider Active NPI

Elizabeth Ann Ceilley, M.D.

  • Radiation Oncology Physician
  • Lakewood, CO
National Provider Identifier
1629016100
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
40585 Issued in CO
Practice address
11750 W 2ND PL Ste 150
Lakewood, CO 80228-1724
Phone
(720) 321-8800
Fax
(720) 321-8801
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 40585 CO Primary

Addresses

Primary practice location

11750 W 2ND PL Ste 150
Lakewood, CO 80228-1724

Mailing address

PO Box 800022
Kansas City, MO 64180-0022
Phone (800) 953-0104

Other practice location 1

7750 S Broadway Ste G20
Littleton, CO 80122-2637
Phone (303) 347-5305

Other identifiers 1

IdentifierTypeStateIssuer
07383339MedicaidCO

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
I20060711000416 CO Practitioner - Radiation Oncology 4688687858 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Iowa, RJ & L Carver College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

11750 W 2ND PL
Suite 150
Lakewood, CO 80228-1724
Phone (303) 430-2700

Hospital & facility affiliations

  • Centura Health-St Anthony Hospital Hospital, Lakewood, CO, CCN 060015
  • Mercy Regional Medical Center Hospital, Durango, CO, CCN 060013
  • Centura Health-St Anthony North Health Campus Hospital, Westminster, CO, CCN 060104

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40585COMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Jul 25, 2022 Accepting new patients
Portercare Adventist Health System Radiation Oncology CurrentSince Jul 25, 2022 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado Radiation Oncology CurrentSince Jul 25, 2022 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jul 25, 2022 Accepting new patients
Boulder Cancer Center, LLC Radiation Oncology Past Accepting new patients
Durango Cancer Center PC Radiation Oncology Past Accepting new patients
St Anthony Regional Mountain Cancer Center, LLC Radiation Oncology Past Accepting new patients
Radiation Therapy Center of Thornton, L.P. Past Accepting new patients
Rocky Mountain Gamma Knife Center, LLC PastSince Jan 1, 2008 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Mountain Radiation Oncology Radiation Oncology Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

2222 N Nevada Ave
Ste CC101
Colorado Springs, CO 80907
Phone (719) 570-7675

6031 E Woodmen Rd
Ste 150
Colorado Springs, CO 80923
Phone (719) 776-5281

1 Mercado St
Ste 100
Durango, CO 81301
Phone (970) 385-4746

3801 Main Ave
Durango, CO 81301
Phone (970) 385-4746

11750 W 2nd Pl
Ste 150
Lakewood, CO 80228
Phone (303) 763-4020

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

7750 S Broadway
Ste G20
Littleton, CO 80122
Phone (303) 347-2500

1950 Mountain View Ave
Longmont, CO 80501
Phone (303) 651-5000

1008 Minnequa Ave
Pueblo, CO 81004
Phone (719) 557-5656

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Organizations & group practices 13

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 13

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1629016100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800022",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641800022",
            "telephone_number": "800-953-0104",
            "fax_number": "303-765-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 W 2ND PL STE 150",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281724",
            "telephone_number": "720-321-8800",
            "fax_number": "720-321-8801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7750 S Broadway Ste G20",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801222637",
            "country_code": "US",
            "telephone_number": "303-347-5305",
            "fax_number": "303-347-5301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CEILLEY",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CO",
            "license": "40585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07383339",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.