Individual provider Active NPI

Shivanshu Madan, M.D.

  • Interventional Cardiology Physician
  • Loveland, CO
National Provider Identifier
1245590108
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
DR.0062716 Issued in CO
Practice address
2500 Rocky Mountain Ave Ste 100
Loveland, CO 80538-9004
Phone
(970) 221-1000
NPI assigned
May 24, 2012
Last updated
Mar 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2015-01095 NC
Cardiovascular Disease Physician 207RC0000X DR.0062716 CO
Interventional Cardiology Physician 207RI0011X DR.0062716 CO Primary

Addresses

Primary practice location

2500 Rocky Mountain Ave Ste 100
Loveland, CO 80538-9004

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (910) 721-2070

Other practice location 1

240 Hospital Dr NE
Bolivia, NC 28422-8346
Phone (910) 721-2070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NE, WY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190727000359 CO Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1153611066 Reassigns benefits to 1 organization
I20190807000828 NE Practitioner - Interventional Cardiology 1153611066 Reassigns benefits to 1 organization
I20191027000016 WY Practitioner - Interventional Cardiology 1153611066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Michigan State University College of Human Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, shared by 2 NPIs, 2,425 clinicians

Practice addresses (Care Compare)

1024 S Lemay Ave
Fort Collins, CO 80524-3929

11083 Colorado Blvd
Firestone, CO 80504-5873
Phone (303) 833-8880

1750 E Ken Pratt Blvd
Uchealth
Longmont, CO 80504-5311
Phone (970) 237-7848

1760 E Ken Pratt Blvd
Longmont, CO 80504-5311

1925 Mountain View Ave
Longmont, CO 80501-3128
Phone (303) 776-1234

2101 Box Butte Ave
Alliance, NE 69301-4445
Phone (800) 459-4241

2121 E Harmony Rd
Fort Collins, CO 80528-3401

221 E 29TH St
Loveland, CO 80538-2746

2500 Rocky Mountain Ave
Loveland, CO 80538-9004

2750 Broadway St
Suite 2170
Boulder, CO 80304-3573
Phone (303) 440-3169

2970 Arapahoe Rd
Lafayette, CO 80026-8054
Phone (303) 460-6010

3116 Willett Dr
Laramie, WY 82072-5048
Phone (307) 742-9411

3911 Ave B
Scottsbluff, NE 69361-4617
Phone (970) 482-3328

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

5050 Powderhouse Rd
Cheyenne, WY 82009-4800
Phone (307) 634-1311

529 Main St
Suite 102
Fort Morgan, CO 80701-2131
Phone (970) 867-7000

555 Prospect Ave
Estes Park, CO 80517-6312
Phone (970) 577-4478

620 Iris Dr
Sterling, CO 80751-4716
Phone (970) 522-7266

6767 29TH St
Greeley, CO 80634-5474
Phone (970) 224-3636

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Sep 3, 2019 Accepting new patients

Locations

11820 Destination Dr
Broomfield, CO 80021
Phone (303) 460-6000

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

2121 E Harmony Rd
Unit 100
Fort Collins, CO 80528
Phone (970) 663-3107

6767 29th St
Fl 3
Greeley, CO 80634
Phone (970) 652-2801

1900 16th St
Greeley, CO 80631
Phone (970) 350-2438

6767 29th St
#3
Greeley, CO 80634

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403

2500 Rocky Mountain Ave
Ste 100
Loveland, CO 80538
Phone (970) 624-1800

3911 Avenue B
Scottsbluff, NE 69361
Phone (308) 630-2100

2 W 42nd St
Ste 2200
Scottsbluff, NE 69361
Phone (308) 630-2626

3116 Willett Dr
Laramie, WY 82072
Phone (307) 742-6319

Organizations & group practices 2

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1245590108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "910-721-2070",
            "fax_number": "910-755-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ROCKY MOUNTAIN AVE STE 100",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389004",
            "telephone_number": "970-221-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Hospital Dr NE",
            "address_purpose": "LOCATION",
            "city": "Bolivia",
            "state": "NC",
            "postal_code": "284228346",
            "country_code": "US",
            "telephone_number": "910-721-2070",
            "fax_number": "910-755-1474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADAN",
        "first_name": "SHIVANSHU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-24",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2015-01095",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "DR.0062716",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CO",
            "license": "DR.0062716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.