Indira Mahalingam, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

37217 Issued in CO

Practice address

3940 Broadlands LN
Broomfield, CO 80020-9541

Phone

(303) 460-1589

Fax

(303) 466-0533

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Choice Hospice Hospice, Greenwood Village, CO, CCN 061612
• Ridgeview Post Acute Nursing home, Commerce City, CO, CCN 065283
• Juniper Village - the Spearly Center Nursing home, Denver, CO, CCN 065327

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Colorado Internal Medicine Associates, PC

  • Internal Medicine Physician
  • Broomfield, CO
  • NPI 1437454147
  Medicare reassignment NPD Authorized official

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

• Bardwell Healthcare, Inc.

  • Skilled Nursing Facility
  • Commerce City, CO
  • NPI 1609413897

  Nursing home

  Care Compare affiliation
• Juniper Park, LP

  • Skilled Nursing Facility
  • Denver, CO
  • NPI 1417955790

  Nursing home

  Care Compare affiliation
• Lumicare Health Co 1 LLC

  • Community Based Hospice Care Agency
  • Greenwood Village, CO
  • NPI 1578121059
  Care Compare affiliation

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164583324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 BROADLANDS LN",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800209541",
            "telephone_number": "303-460-1589",
            "fax_number": "303-466-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 BROADLANDS LN",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800209541",
            "telephone_number": "303-460-1589",
            "fax_number": "303-466-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHALINGAM",
        "first_name": "INDIRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "37217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22158383",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Mackenzie
• Cassandra Madden
• Angela Mari Maestas, LPC, LAC
• Georgia Magnera
• Ella Ann Mahaffie
• Woytek Makala, PT, DPT
• Douglas Howard Malcolm, PHARMD
• Stephanie Mallen, CNIM
• Robert Scott Malone, L.AC.
• Alec Manalac-Kwasna, MA

• Internal Medicine Physician in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.