Individual provider Active NPI

Jay H Dworkin DPM

  • Foot & Ankle Surgery Podiatrist
  • Aurora, CO
National Provider Identifier
1508938432
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
280 Issued in CO
Practice address
1421 S Potomac St
Ste 120
Aurora, CO 80012-4511
Phone
(303) 923-3369
Fax
(303) 923-3882
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 280 CO Primary

Addresses

Primary practice location

1421 S Potomac St
Ste 120
Aurora, CO 80012-4511

Mailing address

1550 S Potomac St Ste 380
Aurora, CO 80012-5458

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110920000721 CO Practitioner - Podiatry 4587707229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1421 S Potomac St
Suite 120
Aurora, CO 80012-4511
Phone (303) 923-3369

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
280COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Jay Dworkin PC Foot & Ankle Surgery CurrentSince Dec 1, 1990 Accepting new patients

Locations

1550 S Potomac St
Ste 380
Aurora, CO 80012
Phone (303) 369-1044

1421 S Potomac St
Ste 120
Aurora, CO 80012
Phone (303) 758-5610

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1508938432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 S POTOMAC ST STE 380",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 S POTOMAC ST",
            "address_2": "STE 120",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124511",
            "telephone_number": "303-923-3369",
            "fax_number": "303-923-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWORKIN DPM",
        "first_name": "JAY",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.