DR. SOPHIA LOUISE AMBRUSO D.O.
NPI 1518250174
Internal Medicine in Littleton, CO

Active since May 16, 2011PECOS EnrolledAccepts Medicare Assignment
3 BLUE GROUSE RIDGE RD, LITTLETON, CO 80127(208) 422-1314 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Sophia Louise Ambruso D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SOPHIA LOUISE AMBRUSO D.O. (NPI 1518250174) is an individual internal medicine provider in Littleton, Colorado, licensed in Idaho (9871479) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1518250174
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SOPHIA LOUISE AMBRUSOCredential: D.O.
Location Address3 BLUE GROUSE RIDGE RDLittleton, CO 80127-5704
Mailing Address3 Blue Grouse Ridge RdLittleton, CO 80127-5704 · (303) 748-6419
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2011
Enumeration DateMay 16, 2011
Last NPPES UpdateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
✔ NPI 1518250174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in ID · 9871479✔ Licensed in CO · DR.0055382
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License DO227185 (OR), 9871479 (ID)
3 BLUE GROUSE RIDGE RD, Littleton, CO 80127

Other Names 1

Former Name (1)Dr. Sophia Louise Hines Do

Secondary Practice Location 1

Location 15610 W Gage St Ste ABoise, ID 83706-1332 · Phone (208) 501-8955 · Fax (208) 370-3382

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sophia Louise Ambruso D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658698055
PECOS Enrollment IDI20251208001139, I20251210003680
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sophia Ambruso reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nephrology
18001 E 10 MILE RD, SUITE 1
Roseville, MI 48066
  • Reassigned Medicare billing, Idaho and Oregon enrollments
  • 9 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Medical Center - Nampa

Acute Care Hospitals · Nampa, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130013
Location4300 E Flamingo AveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Wallowa Memorial Hospital

Critical Access Hospitals · Enterprise, OR
OwnershipGovernment - Hospital District or Authority
CMS Certification Number381306
Location601 Medical ParkwayEnterprise, OR 97828 · Wallowa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80127 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sophia Ambruso's NPI number?

The NPI number for Sophia Ambruso is 1518250174. It was assigned to this individual provider in the NPPES registry on May 16, 2011. The provider is also known as Dr. Sophia Louise Hines Do.

Where is Sophia Ambruso located?

Sophia Ambruso practices at 3 Blue Grouse Ridge Rd, Littleton, CO 80127. The listed phone number is (208) 422-1314.

What is Sophia Ambruso's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sophia Ambruso enrolled in Medicare?

Yes. Sophia Ambruso is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Sophia Ambruso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Ambruso reassigns Medicare benefits to St Clair Specialty Physicians PC (Roseville, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sophia Ambruso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sophia Ambruso accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare and Select Health list Sophia Ambruso as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sophia Ambruso affiliated with any hospitals?

According to CMS data, Sophia Ambruso is affiliated with St Luke's Regional Medical Center, Saint Alphonsus Regional Medical Center, Saint Alphonsus Medical Center - Nampa, St Luke's Nampa Medical Center and Wallowa Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sophia Ambruso was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.