Individual provider Active NPI

Neha Arora Vaitha, M.D.

  • Pediatrics Physician
  • Broomfield, CO
National Provider Identifier
1154642130
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
DR.0062959 Issued in CO
Practice address
3301 W 144TH Ave Unit 200
Broomfield, CO 80023-9511
Phone
(303) 438-5522
NPI assigned
Jun 14, 2010
Last updated
Dec 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 69456 GA
Pediatrics Physician 208000000X DR.0062959 CO Primary

Addresses

Primary practice location

3301 W 144TH Ave Unit 200
Broomfield, CO 80023-9511

Mailing address

3301 W 144TH Ave Unit 200
Broomfield, CO 80023-9511
Phone (303) 438-5522

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230403000318 CO Practitioner - Pediatric Medicine 5890935878 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69456GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc Current Accepting new patients
Boulder Medical Center, P.C. CurrentSince Apr 3, 2023 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Aug 1, 2013 Accepting new patients
Boulder Medical Center, P.C. CurrentSince Apr 3, 2023 Accepting new patients
Emory Medical Care Foundation Inc Pediatrics CurrentSince Aug 1, 2013 Accepting new patients
Boulder Medical Center, P.C. Past Accepting new patients

Locations

2750 Broadway St
Boulder, CO 80304
Phone (303) 440-3000

4745 Arapahoe Ave
Ste 200
Boulder, CO 80303
Phone (303) 938-4710

1551 Professional Ln
Unit 240
Longmont, CO 80501
Phone (303) 938-4710

1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112

80 Butler St SE
Atlanta, GA 30368
Phone (404) 327-5920

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1154642130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W 144TH AVE UNIT 200",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800239511",
            "telephone_number": "303-438-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 W 144TH AVE UNIT 200",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800239511",
            "telephone_number": "303-438-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAITHA",
        "first_name": "NEHA",
        "middle_name": "ARORA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "69456",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR.0062959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.