Active NPI
Sara E Kornely, P.A.
- Physician Assistant
- Lakewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-3274
- Practice address
- 1746 Cole Blvd Ste 150
Lakewood, CO 80401-3267 - Phone
- (303) 914-8800
- NPI assigned
- Mar 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1759-023 | WI | |
| Physician Assistant | 363A00000X | PA-3274 | CO | Primary |
Addresses
Primary practice location
1746 Cole Blvd Ste 150
Lakewood, CO 80401-3267
Mailing address
1746 Cole Blvd Ste 150
Lakewood, CO 80401-3267
Phone (303) 914-8800
Other practice location 1
500 W 144th Ave Ste 230
Westminster, CO 80023-9328
Phone (303) 665-2600
Other practice location 2
80 Health Park Dr Ste 230
Louisville, CO 80027-4644
Phone (303) 665-2603
Other practice location 3
3 Superior Drive
Suite 225
Superior, CO 80027
Phone (303) 665-2603
Other practice location 4
3455 Lutheran Pkwy Ste 105
Wheat Ridge, CO 80033-6028
Phone (303) 665-2603 ext. 223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41990600 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- 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, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 Prairie Ctr Pkwy
Brighton, CO 80601-4006
Phone (303) 914-8800
1610 Prairie Ctr Pkwy
Suite 2100
Brighton, CO 80601-4001
Phone (720) 523-5720
1719 E 19TH Ave
Denver, CO 80218-1235
Phone (303) 914-8800
4567 E 9TH Ave
Denver, CO 80220-3908
Phone (303) 914-8800
9191 Grant St
Thornton, CO 80229-4361
Phone (303) 914-8800
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.89 of 100
- Quality
- 75
- Improvement activities
- 40
- Cost
- 88.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-3274 | CO | MD | Physician Assistant |
| 1759-023 | WI | MD | Physician Assistant |
| 1759 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Centers of Colorado, LLC | Physician Assistant | Current | Accepting new patients |
| Orthopedic Centers of Colorado, LLC | Physician Assistant | Current | Accepting new patients |
Locations
1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134
1746 Cole Blvd
Ste 150
Lakewood, CO 80401
Phone (303) 716-3787
8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998
3 Superior Dr
Ste 225
Superior, CO 80027
Phone 3036652603106
500 W 144th Ave
Ste 230
Westminster, CO 80023
Phone 3036652603 ext. 223
3455 Lutheran Pkwy
Ste 105
Wheat Ridge, CO 80033
Phone (303) 456-6000
Interoperability endpoints
- sarakornely@occllc.allscriptsdirect.net
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.
-
- Diagnostic Radiology Physician
- Lakewood, CO
- NPI 1205923596
-
- Radiology Clinic/Center
- Brighton, CO
- NPI 1164881652
-
- Orthopaedic Surgery Physician
- Denver, CO
- NPI 1801339502
Physician Assistant
-
- Orthopaedic Surgery Physician
- Superior, CO
- NPI 1336870856
Physician Assistant
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brighton, CO
- NPI 1629071758
-
- General Acute Care Hospital
- Denver, CO
- NPI 1023062098
-
- General Acute Care Hospital
- Denver, CO
- NPI 1720038946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1235199811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1746 COLE BLVD STE 150",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "804013267",
"telephone_number": "303-914-8800",
"fax_number": "303-865-5788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1746 COLE BLVD STE 150",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "804013267",
"telephone_number": "303-914-8800"
}
],
"practiceLocations": [
{
"address_1": "500 W 144th Ave Ste 230",
"address_purpose": "LOCATION",
"city": "Westminster",
"state": "CO",
"postal_code": "800239328",
"country_code": "US",
"telephone_number": "303-665-2600",
"fax_number": "303-665-2605",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "80 Health Park Dr Ste 230",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "CO",
"postal_code": "800274644",
"country_code": "US",
"telephone_number": "303-665-2603",
"fax_number": "303-665-2605",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3 Superior Drive",
"address_2": "Suite 225",
"address_purpose": "LOCATION",
"city": "Superior",
"state": "CO",
"postal_code": "80027",
"country_code": "US",
"telephone_number": "303-665-2603",
"fax_number": "303-665-2605",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3455 Lutheran Pkwy Ste 105",
"address_purpose": "LOCATION",
"city": "Wheat Ridge",
"state": "CO",
"postal_code": "800336028",
"country_code": "US",
"telephone_number": "303-665-2603 x223",
"fax_number": "303-665-2605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KORNELY",
"first_name": "SARA",
"middle_name": "E",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-27",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "1759-023",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA-3274",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41990600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.