Robert Aaron Prevatt, PA-C
Individual provider Active NPI Physician Assistant · Denver, CO
NPI 1780933978 · NPPES record last updated Dec 15, 2021
Key facts
- NPI
- 1780933978
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA.0005239 (CO)
- Practice address
- 2465 S Downing St Ste 110
Denver, CO 80210-5822 - Phone
- (303) 778-5774
- Fax
- (303) 778-2436
- NPI assigned
- Sep 4, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Portercare Adventist Health System
Practice addresses (Care Compare)
2525 S Downing St
Denver, CO 80210-5817
2535 D S Downing St
Suite 460
Denver, CO 80210-5817
Phone (303) 744-1065
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.96 of 100
- Quality
- 78.58
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.61
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211228002082 | CO | Practitioner - Physician Assistant | 2961893078 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portercare Adventist Health System | Current |
Accepting new patients | |
| Portercare Adventist Health System | Current |
Accepting new patients | |
| Autism Allies, LLC | Past | Accepting new patients | |
| Colorado Psychiatry Center, PC | Past |
Accepting new patients |
Locations
2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706
2465 S Downing St
Ste 110
Denver, CO 80210
Phone (303) 778-1955
2525 S Downing St
#1S
Denver, CO 80210
Phone (303) 765-6969
7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650
Interoperability endpoints
- rprevatt1870165@adventhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.0005239 | CO | Yes |
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
2465 S Downing St Ste 110
Denver, CO 80210-5822
Mailing address
PO Box 801106
Kansas City, MO 64180-1106
Phone (800) 953-0104
Other practice location 1
11154 Huron St Ste 212
Northglenn, CO 80234-2329
Phone (303) 920-5161
Other practice location 2
1536 Cole Blvd Ste 250
Lakewood, CO 80401-3426
Phone (303) 920-5161
Other practice location 3
88 Inverness Cir E Unit J105
Englewood, CO 80112-5527
Phone (303) 799-1600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000198510 | Medicaid | CO |
Other providers in Denver, CO
- Connor Preston
- Melissa Claire Preston
- Scott William Preston
- Paris Prestridge
- Janis Prettitore
- Philip Thomas Prewitt
- Scott Prewitt
- Peter Pribula
- Matthew Corey Pribyl
- Pricare Health PLLC
All providers in Denver, CO · Physician Assistant in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.