Active NPI
Sarah Peyton Ellis, MD
- Obstetrics & Gynecology Physician
- Wheat Ridge, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 38350
- Practice address
- 3555 Lutheran Pkwy
Suite 150
Wheat Ridge, CO 80033-6021 - Phone
- (303) 940-1867
- Fax
- (303) 940-1894
- NPI assigned
- Jul 8, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 38350 | CO | Primary |
Addresses
Primary practice location
3555 Lutheran Pkwy
Suite 150
Wheat Ridge, CO 80033-6021
Mailing address
3555 Lutheran Pkwy
Suite 150
Wheat Ridge, CO 80033-6021
Phone (303) 940-1867
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66308321 | Medicaid | CO | |
| 04012365 | Medicaid | CO | |
| 160057521 | Other | CO | RAIL ROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Colorado School of Medicine, Denver, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2801 Youngfield St
Suite 200
Golden, CO 80401-2202
Phone (303) 940-1867
Hospital & facility affiliations
- Intermountain Health Lutheran Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38350 | CO | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OB-GYN Affiliates | Obstetrics & Gynecology | Current | Accepting new patients |
| Intermountain Front Range, Inc. | Past | Accepting new patients |
Locations
7200 S Alton Way
Ste A100
Centennial, CO 80112
Phone (303) 730-2229
2801 Youngfield St
Ste 200
Lakewood, CO 80401
Phone (303) 432-9939
Interoperability endpoints
- sarah.ellis.1@8558.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Littleton, CO
- NPI 1134185721
-
- General Acute Care Hospital
- Wheat Ridge, CO
- NPI 1669461281
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wheat Ridge, CO
- NPI 1811739923
-
- General Acute Care Hospital
- Golden, CO
- NPI 1235803917
-
- General Acute Care Hospital
- Wheat Ridge, CO
- NPI 1619706249
-
- General Acute Care Hospital
- Wheat Ridge, CO
- NPI 1669461281
-
- General Acute Care Hospital
- Golden, CO
- NPI 1891576716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269907200000",
"number": "1821096447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3555 LUTHERAN PKWY",
"address_2": "SUITE 150",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336021",
"telephone_number": "303-940-1867",
"fax_number": "303-940-1894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3555 LUTHERAN PKWY",
"address_2": "SUITE 150",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336021",
"telephone_number": "303-940-1867",
"fax_number": "303-940-1894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "SARAH",
"middle_name": "PEYTON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-08",
"last_updated": "2010-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CO",
"license": "38350",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "66308321",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04012365",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "160057521",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.