Individual provider Active NPI

Carmen Chau

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1467009332
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0008052 Issued in CO
Practice address
1525 Raleigh St Ste 500
Denver, CO 80204-1594
Phone
(303) 872-1735
NPI assigned
Aug 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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 0008052 CO Primary

Addresses

Primary practice location

1525 Raleigh St Ste 500
Denver, CO 80204-1594

Mailing address

1525 Raleigh St Ste 500
Denver, CO 80204-1594
Phone (303) 872-1735

Other practice location 1

663 E Mary Ln
Gilbert, AZ 85295-1669
Phone (480) 633-6233

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
I20231003003584 CO Practitioner - Physician Assistant 1850768706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

1525 Raleigh St
Suite 500
Denver, CO 80204-1594
Phone (888) 374-5066

2860 S Circle Dr
Colorado Springs, CO 80906-4195
Phone (719) 540-2100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0008052COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC Physician Assistant CurrentSince Sep 19, 2023 Accepting new patients
Family Care Center, LLC Family Medicine CurrentSince Sep 19, 2023 Accepting new patients

Locations

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

1525 Raleigh St
Ste 500
Denver, CO 80204
Phone (303) 872-1735

Organizations & group practices 2

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": "1566604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1467009332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 RALEIGH ST STE 500",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802041594",
            "telephone_number": "303-872-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 RALEIGH ST STE 500",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802041594",
            "telephone_number": "303-872-1735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "663 E Mary Ln",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852951669",
            "country_code": "US",
            "telephone_number": "480-633-6233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAU",
        "first_name": "CARMEN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-24",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0008052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.