NPIMap

Individual provider Active NPI

Jagadish Boggavarapu, M.D.

  • Allergy & Immunology Physician
  • Lakewood, CO
National Provider Identifier
1023177573
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
40997 Issued in CO
Practice address
7700 W Virginia Ave
Unit B
Lakewood, CO 80226-3144
Phone
(303) 238-0471
Fax
(303) 238-6711
NPI assigned
Dec 8, 2006
Last updated
Feb 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 40997 CO Primary

Addresses

Primary practice location

7700 W Virginia Ave
Unit B
Lakewood, CO 80226-3144

Mailing address

7700 W Virginia Ave
Unit B
Lakewood, CO 80226-3144
Phone (303) 238-0471

Other identifiers 1

IdentifierTypeStateIssuer
01607251MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041230000145 CO Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 9830184043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mile High Allergy Asthma and Sinus Center, LLCGroup PAC ID 8921283953, 2 clinicians

Practice addresses (Care Compare)

7700 W Virginia Ave
Unit B
Lakewood, CO 80226-3144
Phone (303) 238-0471

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40997COMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mile High Allergy Asthma & Sinus Center, LLC Allergy & Immunology CurrentSince Jan 4, 2011 Accepting new patients
Aria Medical Aesthetics and Wellness, PLLC PastSince Nov 8, 2025 Accepting new patients
Allergy Asthma Sinus Center LLC Allergy & Immunology PastSince Jan 4, 2011 Accepting new patients

Locations

7700 W Virginia Ave
Unit B
Lakewood, CO 80226
Phone (303) 238-0471

Networks

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1023177573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 W VIRGINIA AVE",
            "address_2": "UNIT B",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263144",
            "telephone_number": "303-238-0471",
            "fax_number": "303-238-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 W VIRGINIA AVE",
            "address_2": "UNIT B",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263144",
            "telephone_number": "303-238-0471",
            "fax_number": "303-238-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGAVARAPU",
        "first_name": "JAGADISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CO",
            "license": "40997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01607251",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.