NPIMap

Individual provider Active NPI

Suresh Khilnani, MD

  • Pulmonary Disease Physician
  • Glenwood SPGS, CO
National Provider Identifier
1104860436
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
52537 Issued in CO
Practice address
1906 Blake Ave
Glenwood SPGS, CO 81601-4227
Phone
(970) 384-7707
Fax
(970) 384-8141
NPI assigned
Jun 16, 2006
Last updated
Mar 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 6268 NV
Pulmonary Disease Physician 207RP1001X 52537 CO Primary

Addresses

Primary practice location

1906 Blake Ave
Glenwood SPGS, CO 81601-4227

Mailing address

1906 Blake Ave
Glenwood SPGS, CO 81601-4227
Phone (970) 384-7707

Other identifiers 1

IdentifierTypeStateIssuer
002019131MedicaidNV

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
I20150317001836 CO Practitioner - Pulmonary Disease 6608863394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley View Hospital AssociationGroup PAC ID 1850294778, 205 clinicians

Practice addresses (Care Compare)

100 Pioneers Medical Ctr Dr
Meeker, CO 81641-3181

1906 Blake Ave
Glenwood SPGS, CO 81601-4227

1906 Blake Ave
Glenwood SPGS, CO 81601-4259

2001 N Horseshoe TRL
Silt, CO 81652-9832

350 Market St
Unit 201
Basalt, CO 81621-7403

377 Sylvan Lake Rd
Eagle, CO 81631-6779

401 Castle Creek Rd
Aspen, CO 81611-1159
Phone (970) 384-7510

501 Airport Rd
Rifle, CO 81650-8510

750 Hospital Loop
Craig, CO 81625-8750

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.89 of 100Reported as apm
Quality
86.88
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.19 of 100Reported as individual
Quality
97.98
Promoting interoperability
100
Improvement activities
40
Cost
82.67

Merit-based Incentive Payment System (MIPS)

Final score
94.89 of 100Reported as apm
Quality
86.88
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6268NVMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Assoc of the Roaring Fork Current Accepting new patients
Valley View Hospital Association Current Accepting new patients
Valley View Hospital Association CurrentSince Feb 3, 2015 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Valley View Hospital Association Current Accepting new patients
Valley View Hospital Association CurrentSince Mar 1, 2020 Accepting new patients
Valley View Hospital Association Pulmonary Disease CurrentSince Feb 3, 2015 Accepting new patients
Valley View Hospital Association Current Accepting new patients

Locations

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

Interoperability endpoints

  • Direct secure messaging: suresh.khilnani.1@9028.direct.athenahealth.com
  • Direct secure messaging: vvh_him@direct.vvh.org

Organizations & group practices 9

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1104860436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 BLAKE AVE",
            "city": "GLENWOOD SPGS",
            "state": "CO",
            "postal_code": "816014227",
            "telephone_number": "970-384-7707",
            "fax_number": "970-384-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BLAKE AVE",
            "city": "GLENWOOD SPGS",
            "state": "CO",
            "postal_code": "816014227",
            "telephone_number": "970-384-7707",
            "fax_number": "970-384-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHILNANI",
        "first_name": "SURESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NV",
            "license": "6268",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CO",
            "license": "52537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019131",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood SPGS, CO

Sources for this page

Verify at the official NPI Registry.