NPIMap

Individual provider Active NPI

Tara M Burton, PA

  • Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1194773531
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1422 Issued in CO
Practice address
1975 Research Pkwy Ste 165
Colorado Springs, CO 80920-1026
Phone
(192) 977-2797
Fax
(719) 574-6574
NPI assigned
May 5, 2006
Last updated
Jan 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1422 CO Primary

Addresses

Primary practice location

1975 Research Pkwy Ste 165
Colorado Springs, CO 80920-1026

Mailing address

1975 Research Pkwy Ste 165
Colorado Springs, CO 80920-1026
Phone (192) 977-2797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140916002752 CO Practitioner - Physician Assistant 2062445059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Oklahoma College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1975 Research Pkwy
Colorado SPGS, CO 80920-1026
Phone (719) 574-0310

328 S Bonaventure Ave
Suite 2
Trinidad, CO 81082-2086
Phone (800) 785-6067

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.28 of 100Reported as group
Quality
97.05
Promoting interoperability
100
Improvement activities
40
Cost
63.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1422COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Cancer and Dermatology Center of Colorado Springs, P.C. Past Accepting new patients
Front Range Emergency Specialists, PC Past Accepting new patients

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.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1194773531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 RESEARCH PKWY STE 165",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201026",
            "telephone_number": "192-977-2797",
            "fax_number": "719-574-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 RESEARCH PKWY STE 165",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201026",
            "telephone_number": "192-977-2797",
            "fax_number": "719-574-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "TARA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "1422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.