Individual provider Active NPI

Gregory J. Engelken, PA-C

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1083746986
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0001150 Issued in CO
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

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
18125727MedicaidCO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120319000325 CO Practitioner - Physician Assistant 2769641356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
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

LicenseStateTypeSpecialty
1150COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Feb 1, 2022 Accepting new patients
Portercare Adventist Health System CurrentSince Feb 1, 2022 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.

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

Verify at the official NPI Registry.