Individual provider Active NPI

Stephan Lance Forstot, MD

  • Ophthalmology Physician
  • Littleton, CO
National Provider Identifier
1881687432
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20155 Issued in CO
Practice address
1501 W Mineral Ave Ste 100
Littleton, CO 80120-5716
Phone
(303) 730-0404
Fax
(720) 647-4210
NPI assigned
Aug 30, 2005
Last updated
Jan 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 20155 CO Primary

Addresses

Primary practice location

1501 W Mineral Ave Ste 100
Littleton, CO 80120-5716

Mailing address

1501 W Mineral Ave Ste 100
Littleton, CO 80120-5716
Phone (303) 730-0404

Other identifiers 4

IdentifierTypeStateIssuer
FOB4528OtherBLUE CROSS BLUE SHIELD
180014204OtherRAILROAD MEDICARE
920683020788OtherBLOCK VISION EYE SPECIALI
01201557MedicaidCO

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
I20100630000497 CO Practitioner - Ophthalmology 2860381092 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Johns Hopkins University School of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1501 W Mineral Ave
Suite 100
Littleton, CO 80120-5612
Phone (303) 730-0404

3235 Mill Vista Rd
Highlands Ranch, CO 80129-2440
Phone (303) 730-0404

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20155COMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Corneal Consultants of Colorado PC Ophthalmology CurrentSince Jun 28, 1978 Accepting new patients
University Physicians, Incorporated CurrentSince Apr 7, 2010 Accepting new patients
Corneal Consultants of Colorado PC Ophthalmology CurrentSince Jan 21, 2024 Accepting new patients
University Physicians Incorporated Ophthalmology CurrentSince Apr 7, 2010 Accepting new patients
Littleton Day Surgery Center LLC PastSince Jan 1, 2000 Accepting new patients

Locations

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

1675 Aurora Ct
Aurora, CO 80045
Phone (720) 748-2020

Dept 1061
Denver, CO 80256

3235 Mill Vista Rd
Highlands Ranch, CO 80129
Phone (303) 730-0404

1501 W Mineral Ave
Ste 100
Littleton, CO 80120
Phone (303) 730-0404

8381 Southpark Ln
Littleton, CO 80120
Phone (303) 730-0404

Interoperability endpoints

  • Direct secure messaging: lforstot@ccc.emadirect.md

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1881687432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W MINERAL AVE STE 100",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205716",
            "telephone_number": "303-730-0404",
            "fax_number": "720-647-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W MINERAL AVE STE 100",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205716",
            "telephone_number": "303-730-0404",
            "fax_number": "720-647-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSTOT",
        "first_name": "STEPHAN",
        "middle_name": "LANCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "20155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "FOB4528",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180014204",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION EYE SPECIALI",
            "identifier": "920683020788",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01201557",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.