Active NPI
Gregory J. Engelken, PA-C
- Physician Assistant
- Denver, CO
National Provider Identifier
1083746986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0001150
- Practice address
- 950 E Harvard Ave Ste 550
Denver, CO 80210-7000 - Phone
- (303) 778-6527
- Fax
- (303) 733-1288
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 1150 | CO | |
| Physician Assistant | 363A00000X | PA.0001150 | CO | Primary |
Addresses
Primary practice location
950 E Harvard Ave Ste 550
Denver, CO 80210-7000
Mailing address
950 E Harvard Ave Ste 550
Denver, CO 80210-7000
Phone (303) 778-6527
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18125727 | Medicaid | CO |
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120319000325 | CO | Practitioner - Physician Assistant | 2769641356 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.96 of 100
- Quality
- 78.58
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.61
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1150 | CO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients |
Locations
950 E Harvard Ave
Ste 550
Denver, CO 80210
Phone (303) 269-2920
500 E Hampden Ave
Ste 204
Englewood, CO 80113
Phone (303) 778-6527
7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650
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 and National Provider Directory roles.
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- Durango, CO
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- Urology Physician
- Lakewood, CO
- NPI 1942165626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1083746986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 E HARVARD AVE STE 550",
"city": "DENVER",
"state": "CO",
"postal_code": "802107000",
"telephone_number": "303-778-6527",
"fax_number": "303-733-1288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 E HARVARD AVE STE 550",
"city": "DENVER",
"state": "CO",
"postal_code": "802107000",
"telephone_number": "303-778-6527",
"fax_number": "303-733-1288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGELKEN",
"first_name": "GREGORY",
"middle_name": "J.",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2022-01-25",
"certification_date": "2022-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CO",
"license": "1150",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0001150",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18125727",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.