Active NPI
Amanda Sahar Santos, PA-C
- Medical Physician Assistant
- Greenwood Village, CO
National Provider Identifier
1538755590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA.0006985
- Practice address
- 9250 E Costilla Ave Ste 540
Greenwood Village, CO 80112-3648 - Phone
- (720) 644-9355
- NPI assigned
- Dec 14, 2020
- Last updated
- Nov 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA.0006985 | CO | Primary |
Addresses
Primary practice location
9250 E Costilla Ave Ste 540
Greenwood Village, CO 80112-3648
Mailing address
5441 Lynx St
Frederick, CO 80504-3408
Phone (724) 841-9560
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12230 Lioness Way
Parker, CO 80134-5603
Phone (720) 644-9355
1440 Coffman St
Longmont, CO 80501-2726
Phone (303) 776-2814
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.42 of 100
- Quality
- 55.23
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0006985 | CO | MD | Medical Physician Assistant |
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.
-
- Internal Medicine Physician
- Greenwood Village, CO
- NPI 1265822910
-
dba Summit Medical Consultants ACO
- Internal Medicine Physician
- Greenwood Village, CO
- NPI 1891471207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1538755590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5441 LYNX ST",
"city": "FREDERICK",
"state": "CO",
"postal_code": "805043408",
"telephone_number": "724-841-9560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9250 E COSTILLA AVE STE 540",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801123648",
"telephone_number": "720-644-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "AMANDA",
"middle_name": "SAHAR",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-14",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "PA.0006985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood Village, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.