Individual provider Active NPI

Dylan Kenneth Carter, PA-C, MPAS

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1285212605
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0008251 Issued in CO
Practice address
4500 E 9TH Ave Ste 470
Denver, CO 80220-3923
Phone
(303) 532-8007
NPI assigned
Mar 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 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.0008251 CO Primary

Addresses

Primary practice location

4500 E 9TH Ave Ste 470
Denver, CO 80220-3923

Mailing address

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

Other practice location 1

875 Oak St SE Ste 4030
Salem, OR 97301-3984
Phone (503) 561-6444

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
I20240329001520 CO Practitioner - Physician Assistant 2466861919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Urology PLLCGroup PAC ID 2365346558, 58 clinicians

Practice addresses (Care Compare)

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

4500 E 9TH Ave
Suite 470
Denver, CO 80220-3923
Phone (303) 532-8007

Hospital & facility affiliations

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

State licenses

LicenseStateTypeSpecialty
PA.0008251COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urology, PLLC CurrentSince May 29, 2025 Accepting new patients
Foothills Urology, PC Current Accepting new patients
Rocky Mountain Cancer Centers, LLP CurrentSince Mar 15, 2024 Accepting new patients
Khalid Chowdhury MD, PC PastSince Feb 12, 2013 Accepting new patients

Locations

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

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

1411 S Potomac St
Ste 210
Denver, CO 80012
Phone (303) 750-0883

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

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

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

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

10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117

Interoperability endpoints

  • Direct secure messaging: dylancarter@fu.allscriptsdirect.net
  • Direct secure messaging: dylan.carter@hoos.ikm.direct-ci.com

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 2

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1285212605",
    "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": "4500 E 9TH AVE STE 470",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203923",
            "telephone_number": "303-532-8007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 Oak St SE Ste 4030",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973013984",
            "country_code": "US",
            "telephone_number": "503-561-6444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "DYLAN",
        "middle_name": "KENNETH",
        "credential": "PA-C, MPAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "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.0008251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.