Individual provider Active NPI

Javier Alfonso Jaramillo

  • Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1679978613
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0004145 Issued in CO
Practice address
6025 Delmonico Drive
Colorado Springs, CO 80909
Phone
(719) 535-0648
Fax
(719) 262-5574
NPI assigned
Nov 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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 PA.0004145 CO Primary

Addresses

Primary practice location

6025 Delmonico Drive
Colorado Springs, CO 80909

Mailing address

2 South Cascade Avenue
Suite 140
Colorado Springs, CO 80903-1604
Phone (719) 538-2900

Other identifiers 1

IdentifierTypeStateIssuer
98255312MedicaidCO

Other names 1

  • Javier A. Jaramillo Professional name

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
I20141231002027 CO Practitioner - Physician Assistant 9739402538 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pahs Onpoint Urgent Care LLCGroup PAC ID 3476888363, 36 clinicians
Medventures PLLCGroup PAC ID 1850440652, 19 clinicians

Practice addresses (Care Compare)

10120 E Dry Creek Rd
Suite 101
Englewood, CO 80112-2772
Phone (720) 738-1122

24300 E Smoky Hill Rd
Unit 120
Aurora, CO 80016-1387
Phone (303) 341-4411

7280 Lagae Rd
Suite I
Castle Pines, CO 80108-9454
Phone (720) 638-3405

9205 S Broadway
Highlands Ranch, CO 80129-5631
Phone (303) 330-0271

9695 S Yosemite St
Suite 150
Lone Tree, CO 80124-2891
Phone (720) 255-2350

Hospital & facility affiliations

  • Adventhealth Castle Rock Hospital, Castle Rock, CO, CCN 060125

Merit-based Incentive Payment System (MIPS)

Final score
68.22 of 100Reported as group
Quality
57.29
Improvement activities
40
Cost
72.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0004145COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pahs Onpoint Urgent Care LLC CurrentSince Oct 22, 2019 Accepting new patients
Pahs Onpoint Urgent Care LLC Current Accepting new patients
Pahs Onpoint Urgent Care LLC CurrentSince Oct 22, 2019 Accepting new patients

Locations

24300 E Smoky Hill Rd
Unit 120
Aurora, CO 80016
Phone (303) 330-0410

1151 Aloha St
Ste 200
Castle Rock, CO 80108
Phone (303) 357-2559

10120 E Dry Creek Rd
Ste 101
Englewood, CO 80112
Phone (303) 330-0410

1805 Shea Center Dr
Ste 301
Highlands Ranch, CO 80129
Phone (303) 357-2559

9695 S Yosemite St
Ste 150
Lone Tree, CO 80124
Phone (303) 317-4878

Interoperability endpoints

  • Direct secure messaging: javier.jaramillo.3@9821.direct.athenahealth.com
  • Direct secure messaging: javier.jaramillo.2@9821.direct.athenahealth.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1679978613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SOUTH CASCADE AVENUE",
            "address_2": "SUITE 140",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031604",
            "telephone_number": "719-538-2900",
            "fax_number": "719-538-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 DELMONICO DRIVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80909",
            "telephone_number": "719-535-0648",
            "fax_number": "719-262-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARAMILLO",
        "first_name": "JAVIER",
        "middle_name": "ALFONSO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-04",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98255312",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAVIER",
            "last_name": "JARAMILLO",
            "middle_name": "A.",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.