ZACCARIAH DESMOND IVY PA
NPI 1407135205
Physician Assistant - Medical in Aurora, CO
About Zaccariah Desmond Ivy Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ZACCARIAH DESMOND IVY PA (NPI 1407135205) is an individual medical provider in Aurora, Colorado, licensed in Colorado (PA.0003256) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Centennial.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Zaccariah Desmond Ivy Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Zaccariah Ivy's NPI number?
The NPI number for Zaccariah Ivy is 1407135205. It was assigned to this individual provider in the NPPES registry on August 10, 2011.
Where is Zaccariah Ivy located?
Zaccariah Ivy practices at 13123 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 777-1234.
What is Zaccariah Ivy's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Zaccariah Ivy enrolled in Medicare?
Yes. Zaccariah Ivy is registered in the Medicare PECOS enrollment system.
What insurance does Zaccariah Ivy accept?
Health plans from Medica list Zaccariah Ivy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Zaccariah Ivy was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Zaccariah Desmond Ivy, PA · NPI 1407135205
Medical physician in Aurora, Colorado. Individual provider, active in the CMS NPPES registry since August 10, 2011.
## Identity
- **NPI:** 1407135205 (Entity type: Individual)
- **Enumerated:** August 10, 2011
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA.0003256 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 13123 E 16TH AVE, Aurora, CO 80045-7106
- **Phone:** (720) 777-1234
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1407135205) · Data from the CMS NPPES public registry.