Active NPI
Ellen R Blatt, M.D.
- Diagnostic Radiology Physician
- Lone Tree, CO
National Provider Identifier
1730165911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 43492
- Practice address
- 10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522 - Phone
- (303) 761-9190
- Fax
- (303) 761-6278
- NPI assigned
- Dec 19, 2005
- Last updated
- Sep 29, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 43492 | CO | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 24976 | NE | |
| Diagnostic Radiology Physician | 2085R0202X | 04-36346 | KS | |
| Diagnostic Radiology Physician | 2085R0202X | MD17582 | HI |
Addresses
Primary practice location
10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522
Mailing address
10700 E Geddes Ave
Suite 200
Englewood, CO 80112-3800
Phone (303) 761-9190
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025709000 | Medicaid | NE | |
| 1730165911 | Medicaid | MT | |
| 177858 | Medicaid | AL | |
| 200096808 | Medicaid | MO | |
| 84059792913 | Medicaid | NE | |
| 121622800 | Medicaid | WY | |
| 2193139 | Medicaid | LA | |
| XPY203692 | Medicaid | CA | |
| 1730165911 | Medicaid | MI | |
| 1730165911 | Medicaid | ID | |
| 41502086 | Medicaid | NM | |
| 61322318 | Medicaid | CO | |
| 1530354 | Medicaid | TN | |
| 1730165911 | Medicaid | CA | |
| 1730165911 | Medicaid | SD | |
| 1730165911 | Medicaid | UT | |
| 177858 | Medicaid | AZ | |
| 200332770A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43492 | CO | MD | Diagnostic Radiology Physician |
| MD17582 | HI | MD | Diagnostic Radiology Physician |
| 04-36346 | KS | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Imaging Associates | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Englewood, CO
- NPI 1447299425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1730165911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10700 E GEDDES AVE",
"address_2": "SUITE 200",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801123800",
"telephone_number": "303-761-9190",
"fax_number": "303-761-6278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10101 RIDGEGATE PKWY",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801245522",
"telephone_number": "303-761-9190",
"fax_number": "303-761-6278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLATT",
"first_name": "ELLEN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-19",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "43492",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NE",
"license": "24976",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KS",
"license": "04-36346",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "HI",
"license": "MD17582",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025709000",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730165911",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177858",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200096808",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "84059792913",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121622800",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2193139",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XPY203692",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730165911",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730165911",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41502086",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "61322318",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1530354",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730165911",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730165911",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730165911",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177858",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200332770A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lone Tree, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.