Individual provider Active NPI

Denise Gerda Basch, PA

  • Physician Assistant
  • Commerce City, CO
National Provider Identifier
1194977181
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0003596 Issued in CO
Practice address
5996 E 64TH Ave
Commerce City, CO 80022-3317
Phone
(720) 463-6758
NPI assigned
Oct 21, 2008
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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 PA0003596 CO Primary

Addresses

Primary practice location

5996 E 64TH Ave
Commerce City, CO 80022-3317

Mailing address

PO Box 746081
Atlanta, GA 30374-6081
Phone (312) 733-9730

Other practice location 1

2436 Leafdale Cir
Castle Rock, CO 80109-3756
Phone (720) 984-1736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA0003596COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Colorado, PLLC CurrentSince Jul 10, 2023 Accepting new patients
Washington University CurrentSince Jul 21, 2015 Accepting new patients
Oak Street Health Physicians Group of Colorado, PLLC CurrentSince Jul 10, 2023 Accepting new patients
Washington University CurrentSince Jul 21, 2015 Accepting new patients
Washington University Past Accepting new patients

Locations

4380 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 454-6010

5996 E 64th Ave
Commerce City, CO 80022
Phone (720) 463-6758

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

1 Barnes Hsp Plz
Saint Louis, MO 63110
Phone (314) 273-4966

660 S Euclid Ave
#8054
Saint Louis, MO 63110
Phone (314) 286-1045

Organizations & group practices 5

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1194977181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746081",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746081",
            "telephone_number": "312-733-9730",
            "fax_number": "620-506-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5996 E 64TH AVE",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800223317",
            "telephone_number": "720-463-6758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2436 Leafdale Cir",
            "address_purpose": "LOCATION",
            "city": "Castle Rock",
            "state": "CO",
            "postal_code": "801093756",
            "country_code": "US",
            "telephone_number": "720-984-1736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASCH",
        "first_name": "DENISE",
        "middle_name": "GERDA",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA0003596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce City, CO

Sources for this page

Verify at the official NPI Registry.