Individual provider Active NPI

Sara E Kornely, P.A.

  • Physician Assistant
  • Lakewood, CO
National Provider Identifier
1235199811
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-3274 Issued in CO
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

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
41990600MedicaidWI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111017000592 CO Practitioner - Physician Assistant 9739158114 Reassigns benefits to 3 organizations

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
Diversified Radiology of Colorado IncGroup PAC ID 0143132316, 92 clinicians
Spectrum Medical Imaging LLCGroup PAC ID 1355647595, 50 clinicians

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 100Reported as group
Quality
75
Improvement activities
40
Cost
88.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA-3274COMDPhysician Assistant
1759-023WIMDPhysician Assistant
1759WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Centers of Colorado, LLC Physician Assistant CurrentSince Sep 1, 2019 Accepting new patients
Orthopedic Centers of Colorado, LLC Physician Assistant CurrentSince Sep 1, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.