Active NPI
Ben R Kochman, PA-C
- Physician Assistant
- Westminster, CO
National Provider Identifier
1730133109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1655
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 100
- Quality
- 91.07
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1655 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbine Dermatology PC | Past | Accepting new patients | |
| Sorkin Dermatology Associates Professional LLC. | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Procedural Dermatology Physician
- Westminster, CO
- NPI 1902898711
-
- Dermatology Physician
- Denver, CO
- NPI 1578584652
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.