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MISS SONEMALA PHOMMATHA PA-C
NPI 1720108830
Physician Assistant - Surgical in Denver, CO

Active since March 30, 2007PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1721 E 19TH AVE STE 500, DENVER, CO 80218(303) 762-3472 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Sonemala Phommatha Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS SONEMALA PHOMMATHA PA-C (NPI 1720108830) is an individual surgical provider in Denver, Colorado, licensed in Colorado (PA.0002374) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1720108830
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMISS SONEMALA PHOMMATHACredential: PA-C
Location Address1721 E 19TH AVE STE 500Denver, CO 80218-1242
Mailing Address1721 E 19th Ave Ste 500Denver, CO 80218-1242 · (303) 762-3472
Phone(303) 762-3472
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 30, 2007
Last NPPES UpdateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
✔ NPI 1720108830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CO · PA.0002374
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA.0002374 (CO)
1721 E 19TH AVE STE 500, Denver, CO 80218
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Sonemala Phommatha Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325130560
PECOS Enrollment IDI20090305000654
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services12 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIE VIRGINIA LENART PA
Physician Assistant (Surgical)
1721 E 19TH AVE STE 500
DENVER, CO 80218
Denver County (303) 563-2755
JENS-PETER WITT MD
Neurological Surgery
1721 E 19TH AVE STE 500
DENVER, CO 80218
Denver County (303) 762-3472
HEALTHONE CLINIC SERVICES-SURGICAL SPECIALTIES LLC
Orthopaedic Surgery
1721 E 19TH AVE STE 500
DENVER, CO 80218
Denver County (303) 563-2755
HEALTHONE CLINIC SERVICES - SURGERY NEUROLOGICAL LLC
Neurological Surgery
1721 E 19TH AVE STE 500
DENVER, CO 80218
Denver County (303) 869-2160
HEALTHONE CLINIC SERVICES - MEDICAL SPECIALTIES LLC
Physician Assistant
1721 E 19TH AVE STE 500
DENVER, CO 80218
Denver County (303) 563-2755

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 Sonemala Phommatha's NPI number?

The NPI number for Sonemala Phommatha is 1720108830. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Sonemala Phommatha located?

Sonemala Phommatha practices at 1721 E 19th Ave Ste 500, Denver, CO 80218. The listed phone number is (303) 762-3472.

What is Sonemala Phommatha's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Sonemala Phommatha enrolled in Medicare?

Yes. Sonemala Phommatha is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sonemala Phommatha accept?

Health plans from Medica and UnitedHealthcare list Sonemala Phommatha 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 Sonemala Phommatha was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.