NPIMap

Individual provider Active NPI

Elizabeth Anne Stone Kelts, M.D.

  • Family Medicine Physician
  • Lakewood, CO
National Provider Identifier
1649298746
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
43943 Issued in CO
Practice address
12081 W Alameda Pkwy # 438
Lakewood, CO 80228-2701
Phone
(303) 551-3643
Fax
(720) 328-9653
NPI assigned
Jul 17, 2006
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 43943 CO Primary
Family Medicine Physician 207Q00000X DR.OO43943 CO

Addresses

Primary practice location

12081 W Alameda Pkwy # 438
Lakewood, CO 80228-2701

Mailing address

12081 W Alameda Pkwy # 438
Lakewood, CO 80228-2701
Phone (303) 551-3643

Other identifiers 2

IdentifierTypeStateIssuer
08039356MedicaidCO
419294OtherCO419294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060130000201 CO Practitioner - Family PracticePractitioner - Geriatric Medicine 9436163425 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
University of Rochester School of Medicine and Dentistry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14774 Fenton St
Broomfield, CO 80020-6116
Phone (303) 909-8368

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43943COMDFamily Medicine Physician
DR.OO43943COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care NPS Inc CurrentSince May 28, 2019 Accepting new patients
Craft Hospice LLC Family Medicine CurrentSince Nov 26, 2023 Accepting new patients
Artemis Healthcare Services LLC Family Medicine Current Accepting new patients
Stone Mountain Healthcare, PC Family Medicine CurrentSince May 14, 2015 Accepting new patients
Sunny Acres Healthcare LLC Past Accepting new patients
Neurohealth, LLC PastSince Mar 28, 2018 Accepting new patients
Boulder Valley Women's Health Center, Inc. Past Accepting new patients
Stan Worley MD PC Family Medicine Past Accepting new patients

Locations

1650 38th St
Ste 101E
Boulder, CO 80301
Phone (303) 358-6652

12081 W Alameda Pkwy
Lakewood, CO 80228
Phone (303) 551-3643

Organizations & group practices 8

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 4

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1649298746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12081 W ALAMEDA PKWY # 438",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282701",
            "telephone_number": "303-551-3643",
            "fax_number": "720-328-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12081 W ALAMEDA PKWY # 438",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282701",
            "telephone_number": "303-551-3643",
            "fax_number": "720-328-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELTS",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE STONE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "43943",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.OO43943",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08039356",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "419294",
            "identifier": "419294",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.