Individual provider Active NPI

Kara Dinda Hommerding, PA-C

  • Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1760600159
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0003974 Issued in CO
Practice address
1220 Lake Plaza Dr Ste a
Colorado Springs, CO 80906-3555
Phone
(719) 531-5400
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 022993 NY
Physician Assistant 363A00000X 0003974 CO Primary

Addresses

Primary practice location

1220 Lake Plaza Dr Ste a
Colorado Springs, CO 80906-3555

Mailing address

1220 Lake Plaza Dr Ste a
Colorado Springs, CO 80906-3555
Phone (719) 531-5400

Other practice location 1

1650 Cochrane Cir
Fort Carson, CO 80913-4613
Phone (719) 526-7160

Other practice location 2

95 Crystal Run Rd
Middletown, NY 10941
Phone (845) 703-6999

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
I20160130000010 CO Practitioner - Physician Assistant 6709958184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Medical Branch at Galveston, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rational Dermatology, PCGroup PAC ID 4385775204, 11 clinicians

Practice addresses (Care Compare)

1220 Lake Plaza Dr
Colorado Springs, CO 80906-3548
Phone (719) 531-5400

Merit-based Incentive Payment System (MIPS)

Final score
84.08 of 100Reported as group
Quality
81.46
Improvement activities
40
Cost
71.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0003974COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rational Dermatology, PC CurrentSince Sep 14, 2021 Accepting new patients

Locations

1220 Lake Plaza Dr
Ste A
Colorado Springs, CO 80906
Phone (719) 531-5400

8580 Scarborough Dr
Ste 225
Colorado Springs, CO 80920
Phone (719) 531-5400

1220 Lake Plaza Dr
Colorado Springs, CO 80906
Phone (719) 531-5400

Interoperability endpoints

  • Direct secure messaging: khommerding@coderm.emadirect.md

Organizations & group practices 3

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1760600159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 LAKE PLAZA DR STE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063555",
            "telephone_number": "719-531-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 LAKE PLAZA DR STE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063555",
            "telephone_number": "719-531-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Cochrane Cir",
            "address_purpose": "LOCATION",
            "city": "Fort Carson",
            "state": "CO",
            "postal_code": "809134613",
            "country_code": "US",
            "telephone_number": "719-526-7160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "95 Crystal Run Rd",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "10941",
            "country_code": "US",
            "telephone_number": "845-703-6999",
            "fax_number": "845-703-6297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOMMERDING",
        "first_name": "KARA",
        "middle_name": "DINDA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "022993",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0003974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.