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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: August 16, 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, is affiliated with Plains Regional Medical Center, 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
Phone(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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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 IDI20151012002053, I20170920001891
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.

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

Hospital Affiliations CMS Care Compare

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

Plains Regional Medical Center

Acute Care Hospitals · Clovis, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320022
Location2100 N Martin Luther King, Jr, BlvdClovis, NM 88101 · Curry County
Emergency services Birthing friendly

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.

KEVIN K JOHNSON MD
Radiology (Diagnostic Radiology)
501 E HAMPDEN AVE
ENGLEWOOD, CO 80113
Arapahoe County (303) 761-9190
MS. JANET RUTH DUBRICK NNP
Nurse Practitioner (Neonatal)
501 E HAMPDEN AVE, S 5556
ENGLEWOOD, CO 80113
Arapahoe County (303) 788-6515
ALIDA RAE NEAR M.D.
Anesthesiology
501 E HAMPDEN AVE
ENGLEWOOD, CO 80113
Arapahoe County (303) 788-6749
CHERYL A. MELICK MD
General Practice
501 E HAMPDEN AVE
ENGLEWOOD, CO 80113
Arapahoe County (303) 788-6911
DR. DENETTA SUE SLONE MD
Surgery
501 E HAMPDEN AVE
ENGLEWOOD, CO 80113
Arapahoe County (303) 788-5300
CLAIRE SAKAMOTO PA
Physician Assistant
501 E HAMPDEN AVE
ENGLEWOOD, CO 80113
Arapahoe County (303) 788-6911
HEALTHONE CLINIC SERVICES - SURGERY NEUROLOGICAL LLC
Neurological Surgery
501 E HAMPDEN AVE
ENGLEWOOD, CO 80113
Arapahoe County (303) 788-5000
DR. WILLIAM DUNFEE M.D.
Radiology (Diagnostic Radiology)
501 E HAMPDEN AVE
ENGLEWOOD, CO 80113
Arapahoe County (303) 761-9190

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.

What insurance does Santhosh Valloppillil accept?

Health plans from 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.

Is Santhosh Valloppillil affiliated with any hospitals?

According to CMS data, Santhosh Valloppillil is affiliated with Plains Regional Medical Center.

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 14 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.