Individual provider Active NPI

Mark D Sawyer, M.D.

  • Urology Physician
  • Aurora, CO
National Provider Identifier
1952519308
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
DR.0054556 Issued in CO
Practice address
12631 E 17TH Ave Ste C305
UC Anschutz Medical Center, Division of Urology
Aurora, CO 80045-2527
Phone
(720) 331-6645
Fax
(888) 250-6983
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 57.009404 OH
Urology Physician 208800000X MD0000046244 TN
Urology Physician 208800000X 0101251164 VA
Urology Physician 208800000X DR.0054556 CO Primary

Addresses

Primary practice location

12631 E 17TH Ave Ste C305
UC Anschutz Medical Center, Division of Urology
Aurora, CO 80045-2527

Mailing address

12631 E 17TH Ave Ste C305
UC Anschutz Medical Center, Division of Urology
Aurora, CO 80045-2527
Phone (720) 331-6645

Other identifiers 1

IdentifierTypeStateIssuer
1952519308MedicaidVA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141118000610 CO Practitioner - UrologyPractitioner - General Surgery 4284827403 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.009404OHMDUrology Physician
MD0000046244TNMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians, Incorporated CurrentSince Jul 15, 2014 Accepting new patients
Denver Health and Hospital Authority CurrentSince Oct 27, 2014 Accepting new patients
Denver Health and Hospital Authority CurrentSince Oct 27, 2014 Accepting new patients
University Physicians Incorporated CurrentSince Jul 15, 2014 Accepting new patients

Locations

12631 E 17th Ave
Ste C305
Aurora, CO 80045
Phone (303) 724-2750

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

777 Bannock St
Denver, CO 80204

Dept 1061
Denver, CO 80256

1500 Park Central Dr
Littleton, CO 80129
Phone (720) 516-1000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1952519308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12631 E 17TH AVE STE C305",
            "address_2": "UC ANSCHUTZ MEDICAL CENTER, DIVISION OF UROLOGY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452527",
            "telephone_number": "720-331-6645",
            "fax_number": "303-724-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12631 E 17TH AVE STE C305",
            "address_2": "UC ANSCHUTZ MEDICAL CENTER, DIVISION OF UROLOGY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452527",
            "telephone_number": "720-331-6645",
            "fax_number": "888-250-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWYER",
        "first_name": "MARK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "57.009404",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "MD0000046244",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101251164",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CO",
            "license": "DR.0054556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952519308",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.