Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mariam Mikeladze

Individual provider Physician Assistant · NPI 1740583509

Mariam Mikeladze is a Physician Assistant in Westminster, Colorado. Qualified in 2010, 16 years ago. Practices with Alpine Medical Group Colorado PLLC, a 106-clinician group and accepts Medicare assignment.

Years since qualifying
16
In the registry since
2010
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Practice location Address checks out

10081 Wadsworth Pkwy Ste 200
Westminster, CO 80021-3827
Phone: (303) 431-5409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1740583509
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 15, 2010
Last updated in NPPESJune 17, 2020
Certification dateJune 17, 2020
Mailing address10081 Wadsworth Pkwy Ste 200, Westminster, CO 80021-3827

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Alpine Medical Group Colorado Pllc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Westminster