Individual provider Active NPI

Amanda Parker, MD

  • Surgery Physician
  • Englewood, CO
National Provider Identifier
1457472425
Registry record updated Feb 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DR.0063799 Issued in CO
Practice address
3535 S Lafayette St Ste 100
Englewood, CO 80113-3954
Phone
(800) 991-6117
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X DR.0063799 CO
Surgery Physician 208600000X DR.0063799 CO Primary

Addresses

Primary practice location

3535 S Lafayette St Ste 100
Englewood, CO 80113-3954

Mailing address

3820 Northdale Blvd Ste 201
Tampa, FL 33624-1893
Phone (813) 961-1331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140225002082 TX Practitioner - General Surgery 5193989523 Reassigns benefits to 1 organization
I20200611000624 CO Practitioner - General Surgery 5193989523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Southwestern Medical School at Dallas, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Medical Group PLLCGroup PAC ID 5890091409, 11 clinicians

Practice addresses (Care Compare)

3535 S Lafayette St
Suite 100
Englewood, CO 80113-3954
Phone (800) 991-6117

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0063799COMDPhlebology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Aug 1, 2015 Accepting new patients
Colorado Medical Group, PLLC Surgery CurrentSince Dec 1, 2020 Accepting new patients
Skilled Facility Health Care Solutions Inc Surgery CurrentSince Jun 1, 2020 Accepting new patients
Ut Physicians Surgery CurrentSince Aug 1, 2015 Accepting new patients
Colorado Medical Group, PLLC Surgery PastSince Dec 1, 2020 Accepting new patients
Colorado Medical Group, PLLC Past Accepting new patients
Colorado Medical Group, PLLC Surgery Past Accepting new patients
Colorado Medical Group, PLLC Surgery Past Accepting new patients

Locations

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

6979 S Holly Cir
Ste 125
Centennial, CO 80112

5657 S Himalaya St
Ste 210
Centennial, CO 80015

3535 S Lafayette St
Ste 100
Englewood, CO 80113
Phone (303) 761-7800

3665 John F Kennedy Pkwy
Bldg 200
Fort Collins, CO 80525

6179 S Balsam Way
Ste 200
Littleton, CO 80123
Phone (303) 933-2555

1900 W Littleton Blvd
Littleton, CO 80120
Phone 41550438389238

1551 Professional Ln
Unit 241
Longmont, CO 80501

9195 Grant St
Ste 300
Thornton, CO 80229
Phone (303) 280-2229

3820 Northdale Blvd
Ste 201
Tampa, FL 33624

3810 Northdale Blvd
Ste 260
Tampa, FL 33624

3810 Northdale Blvd
Ste 150
Tampa, FL 33624
Phone (813) 683-4784

6700 West Loop S
Ste 500
Bellaire, TX 77401
Phone (713) 791-9966

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

11920 Astoria Blvd
Ste 330
Houston, TX 77089
Phone (281) 335-0377

10905 Memorial Hermann Dr
Pearland, TX 77584
Phone (713) 486-6000

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

Interoperability endpoints

  • Direct secure messaging: amanda.parker@uvvc.eclinicaldirectplus.com

Organizations & group practices 8

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1457472425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 NORTHDALE BLVD STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241893",
            "telephone_number": "813-961-1331",
            "fax_number": "888-850-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S LAFAYETTE ST STE 100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133954",
            "telephone_number": "800-991-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "CO",
            "license": "DR.0063799",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0063799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.