Active NPI
Srinivas Iyengar, M.D.
- Interventional Cardiology Physician
- Boulder, CO
National Provider Identifier
1073737664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- DR.0059068
- Practice address
- 4743 Arapahoe Ave Ste 201
Boulder, CO 80303-1128 - Phone
- (303) 442-2395
- Fax
- (303) 442-1073
- NPI assigned
- Apr 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | DR.0059068 | CO | |
| Internal Medicine Physician | 207R00000X | DR.0059068 | CO | |
| Interventional Cardiology Physician | 207RI0011X | DR.0059068 | CO | Primary |
Addresses
Primary practice location
4743 Arapahoe Ave Ste 201
Boulder, CO 80303-1128
Mailing address
5450 Western Ave Ste B
Boulder, CO 80301-2709
Phone (303) 442-2395
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4743 Arapahoe Ave
Suite 201
Boulder, CO 80303-1128
Phone (303) 442-2395
Hospital & facility affiliations
- Boulder Community Health
- Good Samaritan Medical Center LLC
- Longmont United Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 33 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0059068 | CO | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulder Community Health | Current | Accepting new patients | |
| Boulder Community Health | Current | Accepting new patients | |
| Boulder Community Health | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Internal Medicine | Past | Accepting new patients |
| Trustees Columbia University City Ny Center Interventional Vascular TH | Interventional Cardiology | Past | Accepting new patients |
Locations
5450 Western Ave
Ste B
Boulder, CO 80301
1755 48th St
Ste 200
Boulder, CO 80301
Phone (303) 415-7450
4743 Arapahoe Ave
Ste 201
Boulder, CO 80303
101 Erie Pkwy
Ste 201A
Erie, CO 80516
101 Erie Pkwy
Erie, CO 80516
Phone (303) 415-5170
1000 W South Boulder Rd
Ste 216
Lafayette, CO 80026
2101 Ken Pratt Blvd
Longmont, CO 80501
Phone (303) 415-4155
2101 Ken Pratt Blvd
Ste 104
Longmont, CO 80501
Phone (303) 776-1532
Interoperability endpoints
- siyengar@bch.gwaydirect.com
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Boulder, CO
- NPI 1821074196
-
- Multi-Specialty Clinic/Center
- Boulder, CO
- NPI 1609822030
-
- Primary Care Clinic/Center
- Boulder, CO
- NPI 1740837137
-
- Interventional Cardiology Physician
- New York, NY
- NPI 1174556823
-
- Internal Medicine Physician
- New York, NY
- NPI 1437176047
Hospital & facility affiliations 36
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Boulder, CO
- NPI 1093357907
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510185600000",
"number": "1073737664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5450 WESTERN AVE STE B",
"city": "BOULDER",
"state": "CO",
"postal_code": "803012709",
"telephone_number": "303-442-2395",
"fax_number": "303-442-1073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4743 ARAPAHOE AVE STE 201",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031128",
"telephone_number": "303-442-2395",
"fax_number": "303-442-1073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IYENGAR",
"first_name": "SRINIVAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-13",
"last_updated": "2017-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CO",
"license": "DR.0059068",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "DR.0059068",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CO",
"license": "DR.0059068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.