Individual provider Active NPI

Sonja Kirsten Stilp, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Boulder, CO
National Provider Identifier
1659304343
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
41802 Issued in CO
Practice address
311 Mapleton Ave
Suite 100
Boulder, CO 80304-3979
Phone
(303) 448-8843
Fax
(303) 635-6859
NPI assigned
Jul 8, 2006
Last updated
Mar 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 41802 CO Primary

Addresses

Primary practice location

311 Mapleton Ave
Suite 100
Boulder, CO 80304-3979

Mailing address

4450 Arapahoe Ave Ste 100
Boulder, CO 80303-9102
Phone (303) 448-8843

Other identifiers 1

IdentifierTypeStateIssuer
45003572MedicaidCO

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
I20040310000143 CO Practitioner - Physical Medicine and Rehabilitation 7810885837 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Vincent General Hospital DistrictGroup PAC ID 4587574884, shared by 4 NPIs, 14 clinicians

Practice addresses (Care Compare)

816 W 4TH St
Leadville, CO 80461-3861
Phone (719) 221-0660

822 W 4TH St
Leadville, CO 80461-3861
Phone (719) 221-0660

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41802COMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent General Hospital District Current Accepting new patients
St. Vincent General Hospital District CurrentSince Jan 1, 2024 Accepting new patients
St. Vincent General Hospital District Current Accepting new patients
Bouldercentre for Orthopedics PC Pain Medicine PastSince Aug 13, 2001 Accepting new patients
Mapleton Hill Orthopaedics PC PastSince Jul 15, 2013 Accepting new patients

Locations

816 W 4th St
Leadville, CO 80461
Phone (719) 221-0660

822 W 4th St
Leadville, CO 80461
Phone (719) 486-0230

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10688/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sonja.stilp.1@16856.direct.athenahealth.com

Organizations & group practices 6

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 3

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1659304343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 ARAPAHOE AVE STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803039102",
            "telephone_number": "303-448-8843",
            "fax_number": "303-635-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MAPLETON AVE",
            "address_2": "SUITE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043979",
            "telephone_number": "303-448-8843",
            "fax_number": "303-635-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILP",
        "first_name": "SONJA",
        "middle_name": "KIRSTEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CO",
            "license": "41802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45003572",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.