NPIMap

Individual provider Active NPI

Sonemala Phommatha, PA-C

  • Surgical Physician Assistant
  • Denver, CO
National Provider Identifier
1720108830
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA.0002374 Issued in CO
Practice address
1721 E 19TH Ave Ste 500
Denver, CO 80218-1242
Phone
(303) 762-3472
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0002374 CO
Surgical Physician Assistant 363AS0400X PA.0002374 CO Primary

Addresses

Primary practice location

1721 E 19TH Ave Ste 500
Denver, CO 80218-1242

Mailing address

1721 E 19TH Ave Ste 500
Denver, CO 80218-1242
Phone (303) 762-3472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090305000654 CO Practitioner - Physician Assistant 8325130560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthone Clinic Services-Surgical Specialties LLCGroup PAC ID 2365537768, 42 clinicians

Practice addresses (Care Compare)

1719 E 19TH Ave
Presbyterian St. Luke'S Medical Ctr
Denver, CO 80218-1235
Phone (720) 754-6000

1721 E 19TH Ave
Suite 500
Denver, CO 80218-1242
Phone (303) 563-2755

4809 Argonne St
Denver, CO 80249-6834
Phone (303) 750-4933

Hospital & facility affiliations

  • HCA HealthOne Presbyterian St. Lukes Hospital, Denver, CO, CCN 060014
  • University of Colorado Hospital Authority Hospital, Aurora, CO, CCN 060024

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MHS Physicians of Texas Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sonemala.phommatha@hca3.eclinicaldirectplus.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 and National Provider Directory roles.

Hospital & facility affiliations 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1720108830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 E 19TH AVE STE 500",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181242",
            "telephone_number": "303-762-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 E 19TH AVE STE 500",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181242",
            "telephone_number": "303-762-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHOMMATHA",
        "first_name": "SONEMALA",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0002374",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA.0002374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.