Individual provider Active NPI

Ross I Palis, M.D.

  • Allergy & Immunology Physician
  • Lakewood, CO
National Provider Identifier
1669481701
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
0065185 Issued in CO
Practice address
1667 Cole Blvd, BLDG 19, Ste 200
Lakewood, CO 80401
Phone
(303) 420-3131
Fax
(303) 420-1984
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 0065185 CO Primary

Addresses

Primary practice location

1667 Cole Blvd, BLDG 19, Ste 200
Lakewood, CO 80401

Mailing address

125 Rampart Way Ste 200
Denver, CO 80230-6429
Phone (720) 858-7550

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
I20201020004539 CO Practitioner - Allergy/Immunology 1658428404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Vanderbilt University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Allergy and Asthma Centers PCGroup PAC ID 9133012842, 25 clinicians

Practice addresses (Care Compare)

1667 Cole Blvd
Suite 200
Lakewood, CO 80401-3320
Phone (303) 420-3131

Merit-based Incentive Payment System (MIPS)

Final score
64.87 of 100Reported as group
Quality
41.92
Promoting interoperability
62
Improvement activities
40
Cost
72.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0065185COMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Allergy and Asthma Centers, PC CurrentSince Jul 25, 2021 Accepting new patients
Colorado Allergy and Asthma Centers, PC CurrentSince Dec 1, 2020 Accepting new patients
Colorado Allergy and Asthma Centers, PC PastSince Jul 25, 2021 Accepting new patients

Locations

4700 E Bromley Ln
Ste 207
Brighton, CO 80601
Phone (303) 654-1234

125 Rampart Way
Ste 200
Denver, CO 80230
Phone (720) 858-7550

9331 S Colorado Blvd
Ste 100
Highlands Ranch, CO 80126
Phone (303) 795-8177

1667 Cole Blvd
Ste 200
Lakewood, CO 80401
Phone (303) 420-3131

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1669481701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 RAMPART WAY STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306429",
            "telephone_number": "720-858-7550",
            "fax_number": "720-858-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 COLE BLVD, BLDG 19, STE 200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80401",
            "telephone_number": "303-420-3131",
            "fax_number": "303-420-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALIS",
        "first_name": "ROSS",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CO",
            "license": "0065185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.