NPIMap

Individual provider Active NPI

Christina J Karl, PA-C

  • Physician Assistant
  • Aurora, CO
National Provider Identifier
1205367745
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C06423 Issued in MD
Practice address
750 Potomac St Ste L23
Aurora, CO 80011-6742
Phone
(303) 360-6276
NPI assigned
Mar 26, 2017
Last updated
Aug 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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 C06423 MD Primary

Addresses

Primary practice location

750 Potomac St Ste L23
Aurora, CO 80011-6742

Mailing address

1199 S Monaco Pkwy
Denver, CO 80224-1809
Phone (724) 600-5686

Other names 1

  • Christina J Dias Former name

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
I20230126000289 CO Practitioner - Physician Assistant 9931476298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Broomfield, CO 80021
Phone (720) 807-4461

550 S Airport Blvd
Aurora, CO 80017-2253

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C06423MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Sep 9, 2024 Accepting new patients
Metro Community Provider Network, Inc. CurrentSince Oct 14, 2022 Accepting new patients
Metro Community Provider Network Inc CurrentSince Oct 14, 2022 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Sep 9, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC Family Medicine Past Accepting new patients
Intermountain Medical Group Denver, LLC Family Medicine PastSince Jul 23, 2023 Accepting new patients

Locations

550 S Airport Blvd
Aurora, CO 80017
Phone (303) 318-2460

750 Potomac St
Ste L23
Aurora, CO 80011
Phone (303) 360-8811

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

2255 S Oneida St
Denver, CO 80224

17866 Cottonwood Dr
Parker, CO 80134
Phone (303) 205-6899

Organizations & group practices 7

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1490486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1205367745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 S MONACO PKWY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241809",
            "telephone_number": "724-600-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 POTOMAC ST STE L23",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800116742",
            "telephone_number": "303-360-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARL",
        "first_name": "CHRISTINA",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-26",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C06423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "DIAS",
            "middle_name": "J",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.