Individual provider Active NPI

Kathleen Ann Sander, M.D.

  • Obstetrics & Gynecology Physician
  • Englewood, CO
National Provider Identifier
1528355534
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DR.0060142 Issued in CO
Practice address
180 E Hampden Ave Ste 100
Englewood, CO 80113-2517
Phone
(303) 789-4968
NPI assigned
Jun 29, 2011
Last updated
Aug 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X DR.0060142 CO Primary

Addresses

Primary practice location

180 E Hampden Ave Ste 100
Englewood, CO 80113-2517

Mailing address

180 E Hampden Ave Ste 100
Englewood, CO 80113-2517
Phone (303) 789-4968

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180427000868 CO Practitioner - Obstetrics/Gynecology 4385864875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bella Natural Womens CareGroup PAC ID 1052531787, 18 clinicians

Practice addresses (Care Compare)

180 E Hampden Ave
Suite 100
Englewood, CO 80113-2517
Phone (303) 789-4968

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0060142COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Natural Womens Care Obstetrics & Gynecology CurrentSince Apr 6, 2018 Accepting new patients
Bella Natural Womens Care Obstetrics & Gynecology CurrentSince Apr 6, 2018 Accepting new patients

Locations

3894 Olive St
Denver, CO 80207
Phone (303) 320-8352

180 E Hampden Ave
Ste 100
Englewood, CO 80113
Phone (303) 789-4968

Interoperability endpoints

  • Direct secure messaging: kathleen.mcglynn.1@9345.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1528355534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 E HAMPDEN AVE STE 100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132517",
            "telephone_number": "303-789-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E HAMPDEN AVE STE 100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132517",
            "telephone_number": "303-789-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDER",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "DR.0060142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.