Individual provider Active NPI

Ben R Kochman, PA-C

  • Physician Assistant
  • Westminster, CO
National Provider Identifier
1730133109
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1655 Issued in CO
Practice address
10359 N Federal Blvd
Suite 210
Westminster, CO 80260
Phone
(303) 404-0200
Fax
(303) 404-2828
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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 1655 CO Primary

Addresses

Primary practice location

10359 N Federal Blvd
Suite 210
Westminster, CO 80260

Mailing address

10359 N Federal Blvd
Suite 210
Westminster, CO 80260
Phone (303) 404-0200

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
I20060607000101 CO Practitioner - Physician Assistant 8426060518 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology of Colorado LLC 18 clinicians

Practice addresses (Care Compare)

13605 Xavier LN
Suite B
Broomfield, CO 80023-3603
Phone (303) 404-3376

300 B Briggs St
Erie, CO 80516-5019
Phone (303) 404-3376

613 25 Rd
Grand Junction, CO 81505-1590
Phone (970) 245-1500

Merit-based Incentive Payment System (MIPS)

Final score
95.54 of 100Reported as group
Quality
91.07
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1655COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Columbine Dermatology PC Past Accepting new patients
Sorkin Dermatology Associates Professional LLC. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ben.kochman@epiphanyderm.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1730133109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10359 N FEDERAL BLVD",
            "address_2": "SUITE 210",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "80260",
            "telephone_number": "303-404-0200",
            "fax_number": "303-404-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10359 N FEDERAL BLVD",
            "address_2": "SUITE 210",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "80260",
            "telephone_number": "303-404-0200",
            "fax_number": "303-404-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHMAN",
        "first_name": "BEN",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "1655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.