Active NPI
James Amettis, PA-C
- Physician Assistant
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0004181
- Practice address
- 3801 E Florida Ave Ste 300
Denver, CO 80210-2571 - Phone
- (303) 388-4256
- NPI assigned
- Mar 9, 2015
- 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 | PA.0004181 | CO | Primary |
Addresses
Primary practice location
3801 E Florida Ave Ste 300
Denver, CO 80210-2571
Mailing address
PO Box 17982
Belfast, ME 04915-4074
Phone (303) 388-4256
Other practice location 1
9785 Maroon Cir Ste G104
Englewood, CO 80112-5922
Phone (303) 779-1172
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 |
|---|---|---|---|---|
| I20151201000556 | CO | Practitioner - Physician Assistant | 0648570432 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0004181 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners in Pediatrics, P.C. | Current | Accepting new patients | |
| Partners in Pediatrics, P.C. | Current | Accepting new patients |
Locations
3801 E Florida Ave
Ste 300
Denver, CO 80210
Phone (303) 388-4256
919 Jasmine St
Denver, CO 80220
Phone (303) 388-4256
9785 Maroon Cir
Ste G104
Englewood, CO 80112
Phone 3037791172 ext. 114
Interoperability endpoints
- amettis.james.1@13728.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Denver, CO
- NPI 1104087931
-
- Pediatrics Physician
- Englewood, CO
- NPI 1508469875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1851784326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17982",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154074",
"telephone_number": "303-388-4256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 E FLORIDA AVE STE 300",
"city": "DENVER",
"state": "CO",
"postal_code": "802102571",
"telephone_number": "303-388-4256"
}
],
"practiceLocations": [
{
"address_1": "9785 Maroon Cir Ste G104",
"address_purpose": "LOCATION",
"city": "Englewood",
"state": "CO",
"postal_code": "801125922",
"country_code": "US",
"telephone_number": "303-779-1172",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMETTIS",
"first_name": "JAMES",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-09",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0004181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.