Active NPI
Allen Markovic, PA-C
- Physician Assistant
- Sacramento, CA
National Provider Identifier
1184015182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA54387
- Practice address
- 3301 C St Ste 1300
Sacramento, CA 95816-3370 - Phone
- (916) 734-6111
- NPI assigned
- Feb 11, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA0004463 | CO | |
| Physician Assistant | 363A00000X | PA1587 | NV | |
| Physician Assistant | 363A00000X | PA54387 | CA | Primary |
Addresses
Primary practice location
3301 C St Ste 1300
Sacramento, CA 95816-3370
Mailing address
3105 Cedar Ravine Rd
Ste 201
Placerville, CA 95667-6561
Phone (530) 626-1602
Other practice location 1
499 E Hampden Ave
Suite 450
Englewood, CO 80113-2780
Phone (303) 756-7546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
258 Gibson Dr
Suite 140
Roseville, CA 95678-5882
Phone (916) 755-0077
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.22 of 100
- Quality
- 86.59
- Improvement activities
- 40
- Cost
- 65.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA54387 | CA | MD | Physician Assistant |
| PA0004463 | CO | MD | Physician Assistant |
| PA1587 | NV | MD | Physician Assistant |
Organizations & group practices 1
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.
-
- Dermatology Physician
- Roseville, CA
- NPI 1003327545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577059200000",
"number": "1184015182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3105 CEDAR RAVINE RD",
"address_2": "STE 201",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956676561",
"telephone_number": "530-626-1602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 C ST STE 1300",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958163370",
"telephone_number": "916-734-6111"
}
],
"practiceLocations": [
{
"address_1": "499 E Hampden Ave",
"address_2": "Suite 450",
"address_purpose": "LOCATION",
"city": "Englewood",
"state": "CO",
"postal_code": "801132780",
"country_code": "US",
"telephone_number": "303-756-7546",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARKOVIC",
"first_name": "ALLEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-11",
"last_updated": "2019-12-23",
"certification_date": "2019-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA0004463",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA1587",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA54387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.