Individual provider Active NPI

Abed Namavari, M.D.

  • Ophthalmology Physician
  • Greenwood Village, CO
National Provider Identifier
1003170366
Registry record updated Feb 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
DR.0061258 Issued in CO
Practice address
6021 S Syracuse Way Ste 102
Greenwood Village, CO 80111-4747
Phone
(720) 667-3852
Fax
(303) 648-6462
NPI assigned
Jul 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X DR.0061258 CO
Ophthalmology Physician 207W00000X DR.0061258 CO Primary

Addresses

Primary practice location

6021 S Syracuse Way Ste 102
Greenwood Village, CO 80111-4747

Mailing address

6021 S Syracuse Way Ste 102
Greenwood Village, CO 80111-4747
Phone (720) 667-3852

Other identifiers 1

IdentifierTypeStateIssuer
9000169744MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://portal.kareo.com/pp-webapp/app/new/login Other

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
I20181128001156 CO Practitioner - Ophthalmology 6800197989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6021 S Syracuse Way
Suite 102
Greenwood Village, CO 80111-4747
Phone (720) 667-3852

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0061258COMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arieye, Inc Ophthalmology CurrentSince Sep 9, 2018 Accepting new patients
Cheyenne Ocular Surgery Past Accepting new patients
University of Miami Past Accepting new patients

Locations

6021 S Syracuse Way
Ste 102
Greenwood Village, CO 80111
Phone (312) 479-4279

Networks

  • CO HMO D-SNP
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO

Organizations & group practices 3

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": "1341100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582329600000",
    "number": "1003170366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 S SYRACUSE WAY STE 102",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114747",
            "telephone_number": "720-667-3852",
            "fax_number": "303-648-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 S SYRACUSE WAY STE 102",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114747",
            "telephone_number": "720-667-3852",
            "fax_number": "303-648-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMAVARI",
        "first_name": "ABED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-01",
        "last_updated": "2020-02-22",
        "certification_date": "2020-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CO",
            "license": "DR.0061258",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "DR.0061258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000169744",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://portal.kareo.com/pp-webapp/app/new/login",
            "affiliation": "N",
            "endpointDescription": "Patient Portal",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Patient's direct access to medical records and messaging",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Electronic Medical Records",
            "address_1": "6021 S Syracuse Way Ste 102",
            "city": "Greenwood Village",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801114747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.