Individual provider Active NPI

Jeremiah F Ellias, D.O.

  • Emergency Medicine Physician
  • Aurora, CO
National Provider Identifier
1982689972
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
42410 Issued in CO
Practice address
2550 S Parker Rd
Ste 206
Aurora, CO 80014-1622
Phone
(303) 306-7783
Fax
(303) 306-7753
NPI assigned
Dec 13, 2005
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 42410 CO Primary
Emergency Medicine Physician 207P00000X 75418 MN

Addresses

Primary practice location

2550 S Parker Rd
Ste 206
Aurora, CO 80014-1622

Mailing address

2550 S Parker Rd
Ste 206
Aurora, CO 80014-1622
Phone (303) 306-7783

Other practice location 1

23500 US Highway 160
Walsenburg, CO 81089-9524
Phone (719) 738-5100

Other practice location 2

1650 4th St SE
Rochester, MN 55904-4717
Phone (507) 529-6600

Other identifiers 1

IdentifierTypeStateIssuer
53351771MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address spanishpeaksregionalhealth@direct.summit-healthcare.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MN, NV3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040629000104 CO Practitioner - Emergency Medicine 2163408238 Reassigns benefits to 5 organizations
I20240109004050 MN Practitioner - Emergency Medicine 2163408238 Reassigns benefits to 1 organization
I20240208001176 NV Practitioner - Emergency Medicine 2163408238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

23500 US Hwy 160
Walsenburg, CO 81089-9524
Phone (719) 738-5100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42410COMDEmergency Medicine Physician
75418MNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Jun 13, 2018 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. Emergency Medicine CurrentSince May 29, 2023 Accepting new patients
Huerfano County Hospital District CurrentSince Feb 1, 2021 Accepting new patients
Winona Health Services CurrentSince Nov 14, 2023 Accepting new patients
Huerfano County Hospital District CurrentSince Feb 1, 2021 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. Emergency Medicine Current Accepting new patients
Mt Grant General Hospital CurrentSince Nov 20, 2023 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince May 29, 2023 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Jun 13, 2018 Accepting new patients
Usacs of Colorado, Inc Emergency Medicine Current Accepting new patients
Mt Grant General Hospital CurrentSince Nov 20, 2023 Accepting new patients
Prowers County Hospital District CurrentSince Oct 8, 2023 Accepting new patients
Huerfano County Hospital District Current Accepting new patients
Longs Peak Emergency Physicians, PC Emergency Medicine Past Accepting new patients
Prowers County Hospital District Emergency Medicine Past Accepting new patients
Uch-MHS Past Accepting new patients
Front Range Emergency Specialists, PC Emergency Medicine Past Accepting new patients

Locations

10860 New Allegiance Dr
Colorado Springs, CO 80921
Phone (719) 757-7000

2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333

6001 E Woodmen Rd
Colorado Springs, CO 80923
Phone (719) 571-1000

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

401 Kendall Dr
Lamar, CO 81052
Phone (719) 336-4343

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

1008 Minnequa Ave
Pueblo, CO 81004
Phone (719) 557-5656

23500 US Highway 160
Walsenburg, CO 81089
Phone (719) 738-5100

855 Mankato Ave
Winona, MN 55987
Phone (507) 454-3680

Interoperability endpoints

  • Direct secure messaging: jellias25396@direct.olmmed.org
  • Direct secure messaging: jeremiah.ellias.do@direct.sprhc.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1982689972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 S PARKER RD",
            "address_2": "STE 206",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141622",
            "telephone_number": "303-306-7783",
            "fax_number": "303-306-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 S PARKER RD",
            "address_2": "STE 206",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141622",
            "telephone_number": "303-306-7783",
            "fax_number": "303-306-7753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23500 US Highway 160",
            "address_purpose": "LOCATION",
            "city": "Walsenburg",
            "state": "CO",
            "postal_code": "810899524",
            "country_code": "US",
            "telephone_number": "719-738-5100",
            "fax_number": "719-738-5138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 4th St SE",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559044717",
            "country_code": "US",
            "telephone_number": "507-529-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIAS",
        "first_name": "JEREMIAH",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "42410",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "75418",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53351771",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spanishpeaksregionalhealth@direct.summit-healthcare.org",
            "affiliation": "N",
            "endpointDescription": "Jeremiah Ellias Spanish Peaks Pro Fees Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "23500 US Highway 160",
            "city": "Walsenburg",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810899524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.