Individual provider Active NPI

Kara Lubieniecki, PA-C

  • Physician Assistant
  • Aurora, CO
National Provider Identifier
1245839992
Registry record updated May 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0006737 Issued in CO
Practice address
1421 S Potomac St Ste 320
Aurora, CO 80012-4512
Phone
(303) 750-1920
NPI assigned
Oct 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 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 PA.0006737 CO Primary

Addresses

Primary practice location

1421 S Potomac St Ste 320
Aurora, CO 80012-4512

Mailing address

10445 W Iliff Ave
Lakewood, CO 80227-2024
Phone (303) 263-1912

Other practice location 1

10445 W Iliff Ave
Lakewood, CO 80227-2024
Phone (303) 263-0529

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
I20221102001660 CO Practitioner - Physician Assistant 5597164038 Reassigns benefits to 2 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

8758 Wolff CT
200 Westminister Clinic
Westminster, CO 80031-6904
Phone (303) 403-6650

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 Feb 27, 2023 Accepting new patients
New West Physicians Inc Physician Assistant CurrentSince Jun 25, 2022 Accepting new patients
New West Physicians Inc CurrentSince Jun 25, 2022 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Feb 27, 2023 Accepting new patients
Intermountain Medical Group Denver, LLC Past Accepting new patients

Locations

1421 S Potomac St
Ste 320
Aurora, CO 80012
Phone (303) 750-1920

1707 Cole Blvd
Ste 100
Lakewood, CO 80401
Phone (303) 716-8013

8758 Wolff Ct
Ste 200
Westminster, CO 80031
Phone (303) 403-6650

Organizations & group practices 5

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": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621123200000",
    "number": "1245839992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10445 W ILIFF AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802272024",
            "telephone_number": "303-263-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 S POTOMAC ST STE 320",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124512",
            "telephone_number": "303-750-1920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10445 W Iliff Ave",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802272024",
            "country_code": "US",
            "telephone_number": "303-263-0529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUBIENIECKI",
        "first_name": "KARA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2021-05-16",
        "certification_date": "2021-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.