Active NPI
Thomas C Sanders, PAC
- Surgical Physician Assistant
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA.0001109
- Practice address
- 2535 S Downing St Ste 180F
Denver, CO 80210-5847 - Phone
- (303) 762-0808
- Fax
- (303) 762-9292
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 1109 | CO | |
| Surgical Physician Assistant | 363AS0400X | PA.0001109 | CO | Primary |
Addresses
Primary practice location
2535 S Downing St Ste 180F
Denver, CO 80210-5847
Mailing address
PO Box 801106
Kansas City, MO 64180-1106
Phone (800) 953-0104
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07039077 | Medicaid | CO |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2525 S Downing St
Denver, CO 80210-5817
2535 D S Downing St
Suite 460
Denver, CO 80210-5817
Phone (303) 744-1065
2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797
2535 S Downing St
Denver, CO 80210-5863
Hospital & facility affiliations
- AdventHealth Porter
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.96 of 100
- Quality
- 78.58
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.61
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| 1109 | CO | MD | Clinical Social Worker |
| PA.0001109 | CO | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Past | Accepting new patients |
Locations
2535 S Downing St
Ste 180F
Denver, CO 80210
Phone (303) 715-7670
7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650
Organizations & group practices 4
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.
-
- Otolaryngology Physician
- Greenwood Village, CO
- NPI 1760761928
-
- Vascular Surgery Physician
- Littleton, CO
- NPI 1407690266
-
- Urology Physician
- Lakewood, CO
- NPI 1942165626
-
- Obstetrics & Gynecology Physician
- Aurora, CO
- NPI 1811289366
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Denver, CO
- NPI 1801800594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1497793699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 801106",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641801106",
"telephone_number": "800-953-0104",
"fax_number": "303-765-6670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2535 S DOWNING ST STE 180F",
"city": "DENVER",
"state": "CO",
"postal_code": "802105847",
"telephone_number": "303-762-0808",
"fax_number": "303-762-9292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "THOMAS",
"middle_name": "C",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CO",
"license": "1109",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CO",
"license": "PA.0001109",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07039077",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.