Individual provider Active NPI

William E Ballas, PA-C

  • Surgical Physician Assistant
  • Centennial, CO
National Provider Identifier
1902844269
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
1715 Issued in CO
Practice address
15530 E. Broncos Parkway
Suite 100
Centennial, CO 80112-7111
Phone
(720) 851-2000
Fax
(720) 851-2009
NPI assigned
Jun 2, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 1715 CO Primary

Addresses

Primary practice location

15530 E. Broncos Parkway
Suite 100
Centennial, CO 80112-7111

Mailing address

15530 E. Broncos Parkway
Suite 100
Centennial, CO 80112-7111
Phone (720) 851-2000

Other identifiers 1

IdentifierTypeStateIssuer
44870043MedicaidCO

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040622000789 CO Practitioner - Physician Assistant 1850376062 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Pain and Anesthesia Services PCGroup PAC ID 2769439785, 5 clinicians
Peak Anesthesia and Pain Management LLCGroup PAC ID 7012913924, 4 clinicians

Practice addresses (Care Compare)

13111 E Brairwood Ave
Suite 310
Centennial, CO 80112-3913
Phone (720) 870-7446

135 Inverness Dr E
Englewood, CO 80112-5115
Phone (303) 220-0810

145 Inverness Dr E
Suite 350
Englewood, CO 80112-5173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1715COMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Anesthesia and Pain Management LLC CurrentSince Jan 1, 2026 Accepting new patients
Dr K Ravilochan MD LLC Past Accepting new patients
Jonathan H Woodcock MD & Assoc PC Past Accepting new patients
Orthopaedic Emergency Services, LLC Past Accepting new patients
Colorado Orthopedic Group, Prof. LLC Past Accepting new patients

Locations

13111 E Briarwood Ave
Ste 310
Centennial, CO 80112
Phone (720) 870-7226

14100 E Arapahoe Rd
Centennial, CO 80112
Phone (303) 699-3000

135 Inverness Dr E
Englewood, CO 80112
Phone (303) 220-0810

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

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, 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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1902844269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15530 E. BRONCOS PARKWAY",
            "address_2": "SUITE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801127111",
            "telephone_number": "720-851-2000",
            "fax_number": "720-851-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15530 E. BRONCOS PARKWAY",
            "address_2": "SUITE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801127111",
            "telephone_number": "720-851-2000",
            "fax_number": "720-851-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLAS",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "1715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44870043",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.