NPIMap

Individual provider Active NPI

Michael James Lockwood, PA

  • Physician Assistant
  • Aurora, CO
National Provider Identifier
1225040033
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
850 Issued in CO
Practice address
12250 E Iliff Ave
#300
Aurora, CO 80014-6318
Phone
(303) 306-4321
Fax
(720) 524-1551
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA.0000850 CO
Physician Assistant 363A00000X 00008530 CO
Physician Assistant 363A00000X 850 CO Primary

Addresses

Primary practice location

12250 E Iliff Ave
#300
Aurora, CO 80014-6318

Mailing address

10900 W 44TH Ave # 300
Wheat Ridge, CO 80033-2761
Phone (303) 993-1330

Other identifiers 1

IdentifierTypeStateIssuer
38406250MedicaidCO

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
I20100708000601 CO Practitioner - Physician Assistant 8325177223 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Housecalls LLCGroup PAC ID 0840212809, 124 clinicians

Practice addresses (Care Compare)

12600 W Colfax Ave
Suite B200
Lakewood, CO 80215-3736
Phone (720) 923-1250

Hospital & facility affiliations

  • Bayada Home Health Care Inc Home health agency, Denver, CO, CCN 067056
  • Bloom Hospice Hospice, Lakewood, CO, CCN 061618

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
850COMDAcupuncturist
00008530COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Colorado PC CurrentSince Dec 1, 2010 Accepting new patients
Inpatient Consultants of Colorado, PC Physician Assistant Past Accepting new patients
Senior Care of Colorado, PC Physician Assistant PastSince Sep 1, 2010 Accepting new patients

Locations

12250 E Iliff Ave
Ste 300
Aurora, CO 80014
Phone (720) 524-1550

2000 S Colorado Blvd
Ste 420
Denver, CO 80222
Phone (720) 524-1550

499 E Hampden Ave
Ste 100
Englewood, CO 80113
Phone (303) 286-3666

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1225040033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 W 44TH AVE # 300",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332761",
            "telephone_number": "303-993-1330",
            "fax_number": "303-284-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12250 E ILIFF AVE",
            "address_2": "#300",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800146318",
            "telephone_number": "303-306-4321",
            "fax_number": "720-524-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKWOOD",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0000850",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "00008530",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38406250",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.