Active NPI
Demitra Philosophos, PA-C
- Physician Assistant
- Boulder, CO
National Provider Identifier
1740913193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.009198
- Practice address
- 4740 Pearl Pkwy Ste 200
Boulder, CO 80301-3080 - Phone
- (303) 449-2730
- NPI assigned
- Jul 5, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.009198 | CO | Primary |
| Physician Assistant | 363A00000X | 10004316A | IN | |
| Physician Assistant | 363A00000X | 085009790 | IL |
Addresses
Primary practice location
4740 Pearl Pkwy Ste 200
Boulder, CO 80301-3080
Mailing address
4740 Pearl Pkwy Ste 200
Boulder, CO 80301-3080
Other practice location 1
1185 State Highway 7
Broomfield, CO 80023-1013
Phone (303) 449-2730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Wisconsin School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4740 Pearl Pkwy
Suite 200
Boulder, CO 80301-3080
Phone (303) 449-2730
Hospital & facility affiliations
- Boulder Community Health
- Centura Health-St Anthony North Health Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.009198 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthomidwest, PLLC | Physician Assistant | Current | Accepting new patients |
| Orthomidwest, PLLC | Current | Accepting new patients | |
| Broomfield Orthopedic Surgery Center, LLC | Past | Accepting new patients | |
| Bouldercentre for Orthopedics | Past | Accepting new patients |
Locations
770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060
1611 W Harrison St
Ste 400
Chicago, IL 60612
Phone (312) 243-4244
9601 Calumet Ave
Munster, IN 46321
Phone (312) 432-2591
Interoperability endpoints
- demitra.philosophos.1@3497.direct.athenahealth.com
- https://api.platform.athenahealth.com/3497/brand/1/csg/21/fhir/r4
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Boulder, CO
- NPI 1336197631
-
- Orthopaedic Surgery Physician
- Rockford, IL
- NPI 1730136474
IN, Physician Assistant
-
- Durable Medical Equipment & Medical Supplies
- Buffalo Grove, IL
- NPI 1043180839
-
- Orthopaedic Surgery Physician
- Broomfield, CO
- NPI 1780448951
-
- Ambulatory Surgical Clinic/Center
- Broomfield, CO
- NPI 1487345328
Hospital & facility affiliations 40
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Boulder, CO
- NPI 1093357907
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1740913193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4740 PEARL PKWY STE 200",
"city": "BOULDER",
"state": "CO",
"postal_code": "803013080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4740 PEARL PKWY STE 200",
"city": "BOULDER",
"state": "CO",
"postal_code": "803013080",
"telephone_number": "303-449-2730"
}
],
"practiceLocations": [
{
"address_1": "1185 State Highway 7",
"address_purpose": "LOCATION",
"city": "Broomfield",
"state": "CO",
"postal_code": "800231013",
"country_code": "US",
"telephone_number": "303-449-2730",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILOSOPHOS",
"first_name": "DEMITRA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-05",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.009198",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10004316A",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085009790",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.