Individual provider Active NPI

Sean T Amsbaugh, M.D.

  • Dermatopathology Physician
  • Aurora, CO
National Provider Identifier
1073561007
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
44388 Issued in CO
Practice address
1390 S Potomac St
Suite 124
Aurora, CO 80012-6165
Phone
(303) 368-8611
Fax
(303) 368-9791
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 44388 CO
Dermatopathology Physician 207ND0900X 44388 CO Primary

Addresses

Primary practice location

1390 S Potomac St
Suite 124
Aurora, CO 80012-6165

Mailing address

1390 S Potomac St
Suite 124
Aurora, CO 80012-6165
Phone (303) 368-8611

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
I20060504000777 CO Practitioner - DermatologyPractitioner - Other (Physician) 6507876588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Wisconsin, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1390 S Potomac St
Suite 124
Aurora, CO 80012-4529
Phone (303) 368-8611

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as group
Quality
100
Promoting interoperability
96
Improvement activities
40
Cost
73.13

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1042
Removal or shaving of skin growth75
Skin biopsy194

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44388COMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology Skin Cancer & Laser Surgery Center P.C. Dermatology CurrentSince Jul 17, 2006 Accepting new patients
Advanced Dermatology Skin Cancer & Laser Surgery Center P.C. Dermatology CurrentSince Jul 17, 2006 Accepting new patients

Locations

3464 S Willow St
Ste 194
Denver, CO 80231

1390 S Potomac St
Ste 124
Denver, CO 80012
Phone (303) 368-8611

12645 E Euclid Dr
Englewood, CO 80111
Phone (303) 368-8611

30960 Stagecoach Blvd
Ste W140
Evergreen, CO 80439
Phone (303) 670-7065

Organizations & group practices 2

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1073561007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 S POTOMAC ST",
            "address_2": "SUITE 124",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800126165",
            "telephone_number": "303-368-8611",
            "fax_number": "303-368-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S POTOMAC ST",
            "address_2": "SUITE 124",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800126165",
            "telephone_number": "303-368-8611",
            "fax_number": "303-368-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMSBAUGH",
        "first_name": "SEAN",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "44388",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CO",
            "license": "44388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.