DR. SANTHOSH A VALLOPPILLIL M.D.
NPI 1568519825
Internal Medicine in Englewood, CO

Active since January 05, 2007PECOS EnrolledAccepts Medicare Assignment
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113(773) 251-6893 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 11, 2025, Feb 10, 2024 (2 updates tracked since 2024).

About Dr. Santhosh A Valloppillil M.d. NPPES

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

DR. SANTHOSH A VALLOPPILLIL M.D. (NPI 1568519825) is an individual internal medicine provider in Englewood, Colorado, licensed in Colorado (DR0056474) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Westminster, and is a graduate of Albany Medical College Of Union University (2001).

NPPES Registry Identity

NPI1568519825
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SANTHOSH A VALLOPPILLILCredential: M.D.
Location Address501 E HAMPDEN AVEEnglewood, CO 80113-2702
Mailing Address3221 Zuni StDenver, CO 80211-3355 · (773) 251-6893
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2001
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJune 11, 20252 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1568519825 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 CO · DR0056474✔ Licensed in IL · 336-114293✔ Licensed in NM · MD2015-0232
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 ListedHospitalistTaxonomy 208M00000X · License DR0056474 (CO)
501 E HAMPDEN AVE, Englewood, CO 80113

Secondary Practice Location 1

Location 114300 Orchard PkwyWestminster, CO 80023-9206 · Phone (720) 627-3761 · Fax (720) 627-3758

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. Santhosh A Valloppillil M.d. 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 ID8224030093
PECOS Enrollment IDI20170920001891
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 Reassignments

10

Medicare enrollment records show Santhosh Valloppillil reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
501 E HAMPDEN AVE
Englewood, CO 80113
  • Reassigned Medicare billing, Colorado enrollment
  • 180 clinicians in this Medicare group
Internal Medicine
6005 S HOLLY ST
Littleton, CO 80121
  • Reassigned Medicare billing, Colorado enrollment
  • 101 clinicians in this Medicare group
Neurological Surgery
7400 E CALEY AVE STE 300
Centennial, CO 80111
  • Reassigned Medicare billing, Colorado enrollment
  • 1,193 clinicians in this Medicare group
Hospitalist
4567 E 9TH AVE
Denver, CO 80220
  • Reassigned Medicare billing, Colorado enrollment
  • 108 clinicians in this Medicare group
Anesthesiology
1375 E 19TH AVE
Denver, CO 80218
  • Reassigned Medicare billing, Colorado enrollment
  • 160 clinicians in this Medicare group
Rural
1010 SPRUCE ST
Espanola, NM 87532
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
General Practice
6701 JEFFERSON ST NE
Albuquerque, NM 87109
  • Reassigned Medicare billing, New Mexico enrollment
  • 554 clinicians in this Medicare group
Critical Access
1901 REDROCK DR
Gallup, NM 87301
  • Reassigned Medicare billing, New Mexico enrollment
  • 179 clinicians in this Medicare group
Emergency Medicine
4311 E LOHMAN AVE
Las Cruces, NM 88011
  • Reassigned Medicare billing, New Mexico enrollment
  • 238 clinicians in this Medicare group
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, New Mexico enrollment
  • 251 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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
421 services164 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
364 services150 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
135 services132 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
52 services52 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80113 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
97%59 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$64.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
501 E HAMPDEN AVE
ENGLEWOOD, CO 80113
Nurse Practitioner (Neonatal)
501 E HAMPDEN AVE, S 5556
ENGLEWOOD, CO 80113
Anesthesiology
501 E HAMPDEN AVE
ENGLEWOOD, CO 80113
General Practice
501 E HAMPDEN AVE
ENGLEWOOD, CO 80113
Surgery
501 E HAMPDEN AVE
ENGLEWOOD, CO 80113
Physician Assistant
501 E HAMPDEN AVE
ENGLEWOOD, CO 80113
Neurological Surgery
501 E HAMPDEN AVE
ENGLEWOOD, CO 80113
Radiology (Diagnostic Radiology)
501 E HAMPDEN AVE
ENGLEWOOD, CO 80113

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 Santhosh Valloppillil's NPI number?

The NPI number for Santhosh Valloppillil is 1568519825. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Santhosh Valloppillil located?

Santhosh Valloppillil practices at 501 E Hampden Ave, Englewood, CO 80113. The listed phone number is (773) 251-6893.

What is Santhosh Valloppillil's specialty?

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

Is Santhosh Valloppillil enrolled in Medicare?

Yes. Santhosh Valloppillil 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 organizations bill Medicare for Santhosh Valloppillil's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Santhosh Valloppillil reassigns Medicare benefits to 10 organizations: Colorado Hospitalist Services, PLLC (Englewood, CO), Inpatient Services, PC (Littleton, CO), Catholic Health Initiatives Colorado (Centennial, CO), Hospital Medicine Services Of Colorado, LLC (Denver, CO), Hospitalist Medicine Physicians Of Colorado - Denver PC (Denver, CO) and 5 more organizations, listed in the Medicare section above. Each 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 Santhosh Valloppillil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Santhosh Valloppillil accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Santhosh Valloppillil 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.

When was this NPI record last updated?

The NPPES record for Santhosh Valloppillil was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.