Individual provider Active NPI

Sarah Pederson, M.D.

  • Obstetrics & Gynecology Physician
  • Westminster, CO
National Provider Identifier
1033520416
Registry record updated Mar 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0060385 Issued in CO
Practice address
12207 Pecos St Ste 500
Westminster, CO 80234-3888
Phone
(303) 797-5595
NPI assigned
May 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0060385 CO Primary

Addresses

Primary practice location

12207 Pecos St Ste 500
Westminster, CO 80234-3888

Mailing address

12207 Pecos St Ste 500
Denver, CO 80234-3888
Phone (303) 797-5595

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180822002623 CO Practitioner - Obstetrics/Gynecology 6800182346 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0060385COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Sep 24, 2018 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Sep 24, 2018 Accepting new patients
Intermountain Medical Group Denver, LLC Obstetrics & Gynecology Current Accepting new patients
Vera Health and Fertility PLLC Obstetrics & Gynecology CurrentSince Mar 12, 2023 Accepting new patients

Locations

2823 Roslyn St
Denver, CO 80238
Phone (303) 403-6330

1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000

1960 N Ogden St
Ste 340
Denver, CO 80218
Phone (303) 318-3816

180 E Hampden Ave
Ste 100
Englewood, CO 80113
Phone (303) 789-4968

2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009

12207 Pecos St
Ste 500
Westminster, CO 80234
Phone (303) 797-5595

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677888000000",
    "number": "1033520416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12207 PECOS ST STE 500",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802343888",
            "telephone_number": "303-797-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12207 PECOS ST STE 500",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802343888",
            "telephone_number": "303-797-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSON",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2023-03-04",
        "certification_date": "2023-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "0060385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.