Individual provider Active NPI

Katie Mae Messana, D.O.

  • Dermatology Physician
  • Parker, CO
National Provider Identifier
1073812244
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
DR.0057140 Issued in CO
Practice address
10345 Parkglenn Way Ste 100
Parker, CO 80138-3884
Phone
(720) 851-5200
Fax
(720) 851-5222
NPI assigned
Mar 27, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X DR.0057140 CO Primary

Addresses

Primary practice location

10345 Parkglenn Way Ste 100
Parker, CO 80138-3884

Mailing address

10345 Parkglenn Way Ste 100
Parker, CO 80138-3884
Phone (720) 851-5200

Other practice location 1

8580 Scarborough Dr
Suite 225
Colorado Springs, CO 80920-7583
Phone (719) 531-5400

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
I20160802000235 CO Practitioner - Dermatology 2668623539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevated Dermatology and Skin Cancer Surgery Center PCGroup PAC ID 6800164575, 7 clinicians

Practice addresses (Care Compare)

10345 Parkglenn Way
Suite 100
Parker, CO 80138-3884
Phone (720) 851-5200

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions888
Removal or shaving of skin growth33
Skin biopsy157

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0057140COMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alta Vista Dermatology, LLC Dermatology CurrentSince Jul 18, 2017 Accepting new patients
Elevated Dermatology and Skin Cancer Surgery Center, PC Dermatology CurrentSince Jun 26, 2017 Accepting new patients
Elevated Dermatology and Skin Cancer Surgery Center, PC Dermatology CurrentSince Mar 31, 2024 Accepting new patients

Locations

206 W County Line Rd
#340
Highlands Ranch, CO 80129
Phone (303) 888-6426

8089 S Lincoln St
Ste 300
Littleton, CO 80122
Phone (720) 851-5200

10345 Parkglenn Way
Ste 100
Parker, CO 80138
Phone (720) 851-5200

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1301184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073812244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10345 PARKGLENN WAY STE 100",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801383884",
            "telephone_number": "720-851-5200",
            "fax_number": "720-851-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10345 PARKGLENN WAY STE 100",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801383884",
            "telephone_number": "720-851-5200",
            "fax_number": "720-851-5222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8580 Scarborough Dr",
            "address_2": "Suite 225",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809207583",
            "country_code": "US",
            "telephone_number": "719-531-5400",
            "fax_number": "719-531-9545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESSANA",
        "first_name": "KATIE",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "DR.0057140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.