Organization Active NPI

Hemamalini Achuthan .M.D., P.C

  • Family Medicine Physician
  • Lakewood, CO
National Provider Identifier
1306901236
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEMAMALINI ACHUTHAN .M.D., P.C
Doing business as
Lakewood Family Practice
Practice address
8015 W Alameda Ave
#150
Lakewood, CO 80226
Phone
(303) 202-0924
Fax
(303) 989-8939
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Hemamalini Achuthan, MDNPI 1205982881
Title
President
Phone
(303) 202-0924

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X CO Primary

Addresses

Primary practice location

8015 W Alameda Ave
#150
Lakewood, CO 80226

Mailing address

PO Box 281169
Lakewood, CO 80228-8169
Phone (303) 202-0924

Other identifiers 1

IdentifierTypeStateIssuer
04020640MedicaidCO

Other names 1

  • Lakewood Family Practice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040413000106 CO Part B Supplier - Clinic/Group Practice 9830183888 Receives reassigned benefits from 1 practitioner
Practice locations: Lakewood, CO

National Provider Directory

National Provider Directory

Locations

8015 W Alameda Ave
Ste 150
Lakewood, CO 80226
Phone (303) 202-0924

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306901236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281169",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802288169",
            "telephone_number": "303-202-0924",
            "fax_number": "303-785-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 W ALAMEDA AVE",
            "address_2": "#150",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80226",
            "telephone_number": "303-202-0924",
            "fax_number": "303-989-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMAMALINI ACHUTHAN .M.D., P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2022-07-21",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "ACHUTHAN",
        "authorized_official_first_name": "HEMAMALINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-202-0924",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04020640",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakewood Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.