Individual provider Active NPI

Ahmad Adi, MD, MBBS

  • Psychiatry Physician
  • Aurora, CO
National Provider Identifier
1235524000
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DR.0061716 Issued in CO
Practice address
12605 E 16TH Ave
Aurora, CO 80045-2545
Phone
(720) 848-0000
NPI assigned
Mar 30, 2015
Last updated
Mar 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DR.0061716 CO Primary

Addresses

Primary practice location

12605 E 16TH Ave
Aurora, CO 80045-2545

Mailing address

12605 E 16TH Ave
Aurora, CO 80045-2545

Other practice location 1

13001 E 17th Pl Fl 2
Aurora, CO 80045-2570
Phone (303) 724-1000

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
I20200109002320 CO Practitioner - Psychiatry 4082956453 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians, Incorporated CurrentSince Dec 1, 2019 Accepting new patients
Denver Health and Hospital Authority CurrentSince Jun 1, 2021 Accepting new patients
University of Colorado Hospital Authority CurrentSince Jan 22, 2020 Accepting new patients
Denver Health and Hospital Authority CurrentSince Jun 1, 2021 Accepting new patients
University Physicians Incorporated CurrentSince Dec 1, 2019 Accepting new patients
University of Colorado Hospital Authority CurrentSince Jan 22, 2020 Accepting new patients

Locations

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

13001 E 17th Pl
Fl 2
Aurora, CO 80045
Phone (303) 724-1000

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

1890 N Revere Ct
Ste 4020
Aurora, CO 80045
Phone (303) 724-1000

1890 N Revere Ct
Ste 5240
Aurora, CO 80045
Phone (303) 724-3300

777 Bannock St
Denver, CO 80204

7901 E Lowry Blvd
Ste 3
Denver, CO 80230

Dept 1061
Denver, CO 80256

7403 Church Ranch Blvd
Westminster, CO 80021
Phone (720) 848-9400

Interoperability endpoints

  • Direct secure messaging: aadi182298@direct.dhha.org

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1235524000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12605 E 16TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12605 E 16TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452545",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13001 E 17th Pl Fl 2",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452570",
            "country_code": "US",
            "telephone_number": "303-724-1000",
            "fax_number": "303-724-9472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADI",
        "first_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "MD, MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR.0061716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.