Individual provider Active NPI

Miles Hamberg, PA-C

  • Physician Assistant
  • Westminster, CO
National Provider Identifier
1275266629
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0007433 Issued in CO
Practice address
500 W 144TH Ave Ste 220
Westminster, CO 80023-9328
Phone
(720) 227-0977
Fax
(303) 607-3473
NPI assigned
Jul 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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
Physician Assistant 363A00000X PA.0007433 CO Primary

Addresses

Primary practice location

500 W 144TH Ave Ste 220
Westminster, CO 80023-9328

Mailing address

10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366

Other identifiers 1

IdentifierTypeStateIssuer
9000209624MedicaidCO

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
I20220923002499 CO Practitioner - Physician Assistant 4183009343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Urology PLLCGroup PAC ID 2365346558, 58 clinicians

Practice addresses (Care Compare)

120 Old Laramie TRL
Lafayette, CO 80026-7012
Phone (303) 695-6106

32135 Castle CT
Suite 101
Evergreen, CO 80439-8006
Phone (303) 985-2550

500 W 144TH Ave
BLDG 2 Suite 220
Westminster, CO 80023-9328
Phone (720) 227-0977

Hospital & facility affiliations

  • Centura Health-St Anthony North Health Campus Hospital, Westminster, CO, CCN 060104
  • Intermountain Health Platte Valley Hospital Hospital, Brighton, CO, CCN 060004
  • Boulder Community Health Hospital, Boulder, CO, CCN 060027
  • Good Samaritan Medical Center LLC Hospital, Lafayette, CO, CCN 060116

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urology, PLLC CurrentSince Jul 1, 2022 Accepting new patients
Advanced Urology, PLLC Current Accepting new patients
Foothills Urology, PC Current Accepting new patients

Locations

4743 Arapahoe Ave
Ste 104
Boulder, CO 80303
Phone (303) 443-4200

4500 E 9th Ave
Ste 470
Denver, CO 80220
Phone (303) 320-8499

4700 Hale Pkwy
Denver, CO 80220
Phone (303) 321-0302

32135 Castle Ct
Ste 101
Evergreen, CO 80439
Phone (303) 679-8500

300 Exempla Cir
Ste 250
Lafayette, CO 80026
Phone (303) 443-8900

2030 Mountain View Ave
Ste 420
Longmont, CO 80501
Phone (303) 776-9400

3 Superior Dr
Ste 350
Superior, CO 80027
Phone (303) 666-4343

500 W 144th Ave
Ste 220
Westminster, CO 80023
Phone (720) 227-0977

500 W 144th Ave
Westminster, CO 80023
Phone (720) 227-0977

10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

Interoperability endpoints

  • Direct secure messaging: mileshamberg@fu.allscriptsdirect.net

Organizations & group practices 3

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 42

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 42

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1275266629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 GRAND CENTRAL AVE STE 220",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W 144TH AVE STE 220",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800239328",
            "telephone_number": "720-227-0977",
            "fax_number": "303-607-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBERG",
        "first_name": "MILES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-05",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0007433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000209624",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.