Individual provider Active NPI

Susan Kawakami, PA-C

  • Physician Assistant
  • Aurora, CO
National Provider Identifier
1245812916
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1700 S Potomac St
Aurora, CO 80012-5405
Phone
(303) 418-7600
Fax
(303) 750-3137
NPI assigned
Apr 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 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 Primary

Addresses

Primary practice location

1700 S Potomac St
Aurora, CO 80012-5405

Mailing address

7951 E Maplewood Ave Ste 300
Greenwood Village, CO 80111-4726
Phone (303) 930-7800

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
I20211111000315 CO Practitioner - Physician Assistant 7416346515 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

Broomfield, CO 80021
Phone (720) 807-4461

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

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Jul 1, 2022 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jul 1, 2022 Accepting new patients
Rocky Mountain Cancer Centers, LLP CurrentSince Oct 4, 2021 Accepting new patients
Khalid Chowdhury MD, PC PastSince Feb 12, 2013 Accepting new patients
Cancer Centers of Colorado, LLC PastSince Nov 18, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC Past Accepting new patients
Platte Valley Medical Group LLC Past Accepting new patients
Cancer Centers of Colorado, LLC Past Accepting new patients
Intermountain Medical Group Denver, LLC Past Accepting new patients

Locations

1700 S Potomac St
Aurora, CO 80012
Phone (303) 418-7600

3027 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 577-2555

1825 N Marion St
Denver, CO 80218
Phone (303) 318-3434

1601 E 19th Ave
Ste 3000
Denver, CO 80218
Phone (303) 388-4876

7951 E Maplewood Ave
Ste 300
Greenwood Village, CO 80111
Phone (303) 930-7800

7951 E Maplewood Ave
Ste 350
Greenwood Village, CO 80111

8550 W 38th Ave
Ste 320
Wheat Ridge, CO 80033
Phone (801) 442-4122

Organizations & group practices 10

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 5

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": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1245812916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7951 E MAPLEWOOD AVE STE 300",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114726",
            "telephone_number": "303-930-7800",
            "fax_number": "303-930-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S POTOMAC ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125405",
            "telephone_number": "303-418-7600",
            "fax_number": "303-750-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWAKAMI",
        "first_name": "SUSAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.