Individual provider Active NPI

Aniruddha Uday Patki, MD

  • Otolaryngology Physician
  • Denver, CO
National Provider Identifier
1013207588
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
DR.0069951 Issued in CO
Practice address
2045 N Franklin St
Denver, CO 80205-5437
Phone
(033) 384-5453
NPI assigned
Apr 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X DR.0069951 CO Primary
Otolaryngology Physician 207Y00000X R8456 TX

Addresses

Primary practice location

2045 N Franklin St
Denver, CO 80205-5437

Mailing address

10350 E Dakota Ave
Denver, CO 80247-1314

Other practice location 1

6431 Fannin St
Houston, TX 77030-1501
Phone (713) 486-5000

Other identifiers 1

IdentifierTypeStateIssuer
029401OtherCOKAISER COMMERCIAL NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, CO, ID4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20170313000714 CA Practitioner - Otolaryngology 4284918251 Reassigns benefits to 1 organization
I20181116001585 TX Practitioner - Otolaryngology 4284918251 Reassigns benefits to 1 organization
I20230328002433 CO Practitioner - Otolaryngology 4284918251 Reassigns benefits to 1 organization
I20260424002649 ID Practitioner - Otolaryngology 4284918251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Washington University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boulder Valley Ear Nose and Throat Associates PCGroup PAC ID 9234128216, 15 clinicians
Pocatello Health Services LLCGroup PAC ID 6608927637, 171 clinicians

Practice addresses (Care Compare)

4745 Arapahoe Ave
Suite 130
Boulder, CO 80303-1082
Phone (303) 443-2771

777 Hospital Way
Pocatello, ID 83201-5175
Phone (208) 239-2260

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Sep 6, 2018 Accepting new patients
Ut Physicians CurrentSince Sep 6, 2018 Accepting new patients
County of Los Angeles CurrentSince Mar 1, 2017 Accepting new patients
Boulder Valley Ear Nose & Throat Associates PC Otolaryngology CurrentSince Oct 1, 2025 Accepting new patients
County of Los Angeles Current Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Mar 1, 2017 Accepting new patients

Locations

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

4745 Arapahoe Ave
Ste 130
Boulder, CO 80303
Phone (303) 443-2771

300 Exempla Cir
Ste 270
Lafayette, CO 80026
Phone (303) 443-2771

90 Health Park Dr
Ste 220
Louisville, CO 80027
Phone (303) 443-2771

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6400 Fannin St
Ste 2700
Houston, TX 77030

6431 Fannin St
Houston, TX 77030
Phone (713) 500-5800

6431 Fannin St
#5036
Houston, TX 77030
Phone (713) 500-5410

Interoperability endpoints

  • Direct secure messaging: apatki10988@direct.uth.org

Organizations & group practices 7

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": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1013207588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 E DAKOTA AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802471314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 N FRANKLIN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055437",
            "telephone_number": "033-384-5453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6431 Fannin St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301501",
            "country_code": "US",
            "telephone_number": "713-486-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATKI",
        "first_name": "ANIRUDDHA",
        "middle_name": "UDAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-18",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CO",
            "license": "DR.0069951",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "R8456",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "029401",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2045 N Franklin St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802055437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.