Individual provider Active NPI

Michael Safranka, PA-C

  • Physician Assistant
  • Greenwood Village, CO
National Provider Identifier
1295368058
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0006159 Issued in CO
Practice address
8575 E Arapahoe Rd Unit K
Greenwood Village, CO 80112-1429
Phone
(303) 770-0028
NPI assigned
Feb 19, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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.0006159 CO Primary

Addresses

Primary practice location

8575 E Arapahoe Rd Unit K
Greenwood Village, CO 80112-1429

Mailing address

4756 Red Deer TRL
Broomfield, CO 80020-8113
Phone (720) 224-8140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 26, 2023 through Apr 26, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0006159COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ageless Men's Health, LLC PastSince Feb 23, 2020 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1295368058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4756 RED DEER TRL",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800208113",
            "telephone_number": "720-224-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 E ARAPAHOE RD UNIT K",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801121429",
            "telephone_number": "303-770-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFRANKA",
        "first_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.