NPIMap

Individual provider Active NPI

Lisa H Scatena, M.D.

  • Dermatology Physician
  • Boulder, CO
National Provider Identifier
1861529893
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
41453 Issued in CO
Practice address
2400 Spruce St
Ste 101
Boulder, CO 80302-4617
Phone
(303) 444-0833
Fax
(303) 444-0803
NPI assigned
Feb 27, 2007
Last updated
Oct 9, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 41453 CO Primary

Addresses

Primary practice location

2400 Spruce St
Ste 101
Boulder, CO 80302-4617

Mailing address

2400 Spruce Street
Ste 101
Boulder, CO 80302-4615
Phone (303) 444-0833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040413001123 CO Practitioner - DermatologyPractitioner - Internal Medicine 8224022108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Internal Medicine
Education
University of Colorado School of Medicine, Denver, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocky Mountain Dermatology, P.C.Group PAC ID 0840354940, 3 clinicians

Practice addresses (Care Compare)

2400 Spruce St
Suite 101
Boulder, CO 80302-4716
Phone (303) 444-0833

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
17.72 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
59.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision104
Removal of tissue1-10
Removal of skin lesions672
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41453COMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Dermatology, P.C. CurrentSince Nov 24, 2008 Accepting new patients
Denver Health and Hospital Authority CurrentSince May 1, 2008 Accepting new patients
Denver Health and Hospital Authority CurrentSince May 1, 2008 Accepting new patients
Soma Physical Therapy PastSince Nov 24, 2008 Accepting new patients

Locations

2400 Spruce St
Ste 101
Boulder, CO 80302
Phone (303) 440-3359

777 Bannock St
Denver, CO 80204

Interoperability endpoints

  • Direct secure messaging: lscatena@rockymountainderm.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 34

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 34

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1861529893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 SPRUCE STREET",
            "address_2": "STE 101",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024615",
            "telephone_number": "303-444-0833",
            "fax_number": "303-444-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 SPRUCE ST",
            "address_2": "STE 101",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024617",
            "telephone_number": "303-444-0833",
            "fax_number": "303-444-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCATENA",
        "first_name": "LISA",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "41453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.