Individual provider Active NPI

Kathryn Davis, PA-C

  • Surgical Physician Assistant
  • Lakewood, CO
National Provider Identifier
1992272793
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MSPA.0000014 Issued in CO
Practice address
11750 W 2ND PL Ste 255
Lakewood, CO 80228-1726
Phone
(720) 638-7500
Fax
(720) 321-8041
NPI assigned
Oct 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MSPA.0000014 CO Primary

Addresses

Primary practice location

11750 W 2ND PL Ste 255
Lakewood, CO 80228-1726

Mailing address

PO Box 800022
Kansas City, MO 64180-0022
Phone (800) 953-0104

Other names 1

  • Kathryn Burke Former name

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
I20231218004156 CO Practitioner - Physician Assistant 6002207313 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthone Clinic Services Orthopedic Specialists LLCGroup PAC ID 5799972725, 81 clinicians

Practice addresses (Care Compare)

501 E Hampden Ave
Swedish Medical Center
Englewood, CO 80113-2702
Phone (303) 788-5000

701 E Hampden Ave
515 Mountain Orthopedic Trauma Surgeons at
Englewood, CO 80113-2736
Phone (303) 209-2503

799 E Hampden Ave
Suite 400a
Englewood, CO 80113-2766
Phone (720) 475-3355

799 E Hampton Blvd
Suite 400
Englewood, CO 80113-2766
Phone (720) 475-3355

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Dec 11, 2023 Accepting new patients
Portercare Adventist Health System CurrentSince Dec 11, 2023 Accepting new patients

Locations

2352 Meadows Blvd
Ste 300
Castle Rock, CO 80109
Phone (303) 744-1961

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

11750 W 2nd Pl
Ste 255
Lakewood, CO 80228
Phone (303) 629-5600

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

7780 S Broadway
Ste 350
Littleton, CO 80122
Phone (303) 734-8650

9980 Park Meadows Dr
Ste 101
Lone Tree, CO 80124

Interoperability endpoints

  • Direct secure messaging: kathryn.davis.1@27294.direct.athenahealth.com
  • Direct secure messaging: kathryn.davis@hca3.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1992272793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800022",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641800022",
            "telephone_number": "800-953-0104",
            "fax_number": "303-765-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 W 2ND PL STE 255",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281726",
            "telephone_number": "720-638-7500",
            "fax_number": "720-321-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KATHRYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "MSPA.0000014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "BURKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.