NPIMap

Individual provider Active NPI

Sarah Kate Gordon, PA-C

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1265088926
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7554 Issued in AZ
Practice address
1818 N Ogden St Ste 310
Denver, CO 80218-1277
Phone
(720) 401-2139
NPI assigned
Aug 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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 7554 AZ Primary

Addresses

Primary practice location

1818 N Ogden St Ste 310
Denver, CO 80218-1277

Mailing address

1690 S Marion St
Denver, CO 80210-2753
Phone (949) 689-6577

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
I20201111000582 CO Practitioner - Physician Assistant 2567894157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Michael King MD PCGroup PAC ID 4183898877, 13 clinicians

Practice addresses (Care Compare)

1030 Johnson Rd
Suite 350
Golden, CO 80401-6053
Phone (720) 401-2139

1818 N Ogden St
310 Peak ENT and Voice Ctr
Denver, CO 80218-1277
Phone (720) 401-2139

403 Summit Blvd
Unit 204
Broomfield, CO 80021-8253
Phone (720) 401-2139

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.08 of 100Reported as group
Quality
71.78
Promoting interoperability
100
Improvement activities
40
Cost
75.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7554AZMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: sarah.gordon.1@3333.direct.athenahealth.com

Organizations & group practices 1

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 9

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": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1265088926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 S MARION ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102753",
            "telephone_number": "949-689-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 N OGDEN ST STE 310",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181277",
            "telephone_number": "720-401-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "SARAH",
        "middle_name": "KATE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.