Aneesh Garg, D.O.

Primary specialty

Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X

License

DR.0069417 Issued in CO

Practice address

1790 30TH St Ste 270
Boulder, CO 80301-1085

Phone

(303) 997-1733

Fax

(303) 747-6570

NPI assigned

Jun 28, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, CO2 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 2

Specialty

Internal Medicine

Education

At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Athlete PLLCGroup PAC ID 7113384033, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Dynamic Athlete PLLC

  • Sports Medicine (Internal Medicine) Physician
  • Boulder, CO
  • NPI 1841986494
  Medicare reassignment Care Compare group NPD
• Premier Orthopaedics & Sports Medicine PLC

  dba Hughston Clinic Orthopaedics

  • Orthopaedic Surgery Physician
  • Nashville, TN
  • NPI 1972577351
  Medicare reassignment NPD
• Premier Orthopaedics & Sports Medicine, PLC

  dba Hughston Clinic Orthopaedics

  • Durable Medical Equipment & Medical Supplies
  • Murfreesboro, TN
  • NPI 1861029084
  NPD

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1346537370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 30TH ST STE 270",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011085",
            "telephone_number": "303-997-1733",
            "fax_number": "303-747-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 30TH ST STE 270",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011085",
            "telephone_number": "303-997-1733",
            "fax_number": "303-747-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARG",
        "first_name": "ANEESH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "IL",
            "license": "036.139147",
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "TX",
            "license": "U1011",
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "CO",
            "license": "DR.0069417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Jane Gardner, RPA-C
• Ventana Garen
• Joshua Avram Garfein, DO
• Elizabeth Ann Garfield, D.C.
• Gadi M Garfinkel, MA
• Rupanshi Garg
• Myrna Lorena Garibay
• Gianna Gariglietti, LPC
• George Parker Garmany Jr., M.D.
• Anneva Noelle Knapp Garner, MA, RSMT, LPCC

• Sports Medicine (Internal Medicine) Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Sports Medicine (Internal Medicine) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.