Individual provider Active NPI

Scott J Ziporin, MD

  • Vascular Surgery Physician
  • Edwards, CO
National Provider Identifier
1780804856
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
CDR0001845 Issued in CO
Practice address
1140 Edwards Village Blvd Unit B204
Edwards, CO 81632-5562
Phone
(970) 926-1003
Fax
(970) 569-2541
NPI assigned
Apr 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X CDR0001845 CO Primary

Addresses

Primary practice location

1140 Edwards Village Blvd Unit B204
Edwards, CO 81632-5562

Mailing address

1140 Edwards Village Blvd. Suite B204 X765
Edwards, CO 81632
Phone (970) 926-1003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140501001907 IL Practitioner - Vascular SurgeryPractitioner - General SurgeryPractitioner - Other (Physician) 2365581469 Reassigns benefits to 2 organizations
I20230323000205 CO Practitioner - Vascular Surgery 2365581469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Colorado School of Medicine, Aurora, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1140 Edwards Village Blvd
Unit B204
Edwards, CO 81632-5562
Phone (970) 926-1003

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal194
Removal of tissue22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CDR0001845COMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Feb 3, 2014 Accepting new patients
Ascent Vascular Specialists and Vein Center, PLLC Vascular Surgery CurrentSince Feb 1, 2024 Accepting new patients
Little Company of Mary Affiliated Services Inc Current Accepting new patients
Little Company of Mary Affiliated Services Inc Surgery CurrentSince Mar 2, 2015 Accepting new patients
The Board of Trustees of the University of Illinois Surgery CurrentSince Feb 3, 2014 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

1300 N Frontage Rd W
#4994
Vail, CO 81657

2800 W 87th St
Chicago, IL 60652
Phone (312) 423-4200

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582

1801 W Taylor St
#3F
Chicago, IL 60612
Phone (312) 355-4300

840 S Wood St
Ste 376N
Chicago, IL 60612

12450 S Harlem Ave
Palos Heights, IL 60463
Phone (708) 448-1207

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEFDDD/Endpoint/IEFDDD

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1780804856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 EDWARDS VILLAGE BLVD. SUITE B204 X765",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "81632",
            "telephone_number": "970-926-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 EDWARDS VILLAGE BLVD UNIT B204",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816325562",
            "telephone_number": "970-926-1003",
            "fax_number": "970-569-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIPORIN",
        "first_name": "SCOTT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-30",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CO",
            "license": "CDR0001845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwards, CO

Sources for this page

Verify at the official NPI Registry.