Individual provider Active NPI

Aleksandr Bachayev, SURGICAL ASSISTANT

  • Ambulatory Surgical Clinic/Center
  • Denver, CO
National Provider Identifier
1013230945
Registry record updated Apr 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
09-316 Issued in CO
Practice address
6565 E Exposition Ave
Denver, CO 80224-1504
Phone
(303) 901-0870
NPI assigned
Mar 6, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 09-316 CO Primary
General Acute Care Hospital 282N00000X 09-316 CO

Addresses

Primary practice location

6565 E Exposition Ave
Denver, CO 80224-1504

Mailing address

6565 E Exposition Ave
Denver, CO 80224-1504

Other names 1

  • Sasha Bachayev Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
09-316COMDGeneral Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Permanente General Acute Care Hospital Past Accepting new patients

Organizations & group practices 1

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": "1267833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396656000000",
    "number": "1013230945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 E EXPOSITION AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 E EXPOSITION AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241504",
            "telephone_number": "303-901-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHAYEV",
        "first_name": "ALEKSANDR",
        "credential": "SURGICAL ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-06",
        "last_updated": "2014-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": "09-316",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CO",
            "license": "09-316",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SASHA",
            "last_name": "BACHAYEV",
            "credential": "SURGICAL ASSISTANT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.