NPIMap

Individual provider Active NPI

Alyssa Aya Self, MD

  • Pulmonary Disease Physician
  • Boulder, CO
National Provider Identifier
1386164663
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
DR.0072562 Issued in CO
Practice address
4820 Riverbend Rd Ste 100
Boulder, CO 80301-2618
Phone
(303) 415-5399
Fax
(303) 297-5808
NPI assigned
Jun 27, 2017
Last updated
Apr 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2017020317 MO
Critical Care Medicine (Internal Medicine) Physician 207RC0200X DR.0072562 CO
Pulmonary Disease Physician 207RP1001X DR.0072562 CO Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X DR.0072562 CO

Addresses

Primary practice location

4820 Riverbend Rd Ste 100
Boulder, CO 80301-2618

Mailing address

PO Box 9049
Boulder, CO 80301-9049
Phone (303) 415-4101

Other practice location 1

1000 W South Boulder Rd Ste 214C
Lafayette, CO 80026-2089
Phone (303) 415-5399

Other practice location 2

1400 Jackson St
Denver, CO 80206-2762
Phone (303) 398-1197 ext. 1197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240611002170 CO Practitioner - Internal Medicine 1658643499 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boulder Community HealthGroup PAC ID 6800707233, 260 clinicians

Practice addresses (Care Compare)

274 Union Blvd
Suite 200
Lakewood, CO 80228-1835
Phone (303) 951-0600

4820 Riverbend Rd
Suite 100
Boulder, CO 80301-2618
Phone (303) 415-5399

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.27 of 100Reported as group
Quality
80.01
Promoting interoperability
100
Improvement activities
40
Cost
77.13

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
73.46
Improvement activities
20
Cost
73.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017020317MOMDInternal Medicine Physician
DR.0072562COMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Critical Care Pulmonary and Sleep Associates Professional LLP Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Boulder Community Health CurrentSince Sep 8, 2025 Accepting new patients
Boulder Community Health CurrentSince Sep 8, 2025 Accepting new patients
Boulder Community Health Current Accepting new patients
Critical Care Pulmonary and Sleep Associates Professional LLP Critical Care Medicine CurrentSince Jun 8, 2025 Accepting new patients
Boulder Community Health Past Accepting new patients
Boulder Community Health Past Accepting new patients

Locations

1755 48th St
Ste 200
Boulder, CO 80301
Phone (303) 415-7450

4820 Riverbend Rd
Ste 100
Boulder, CO 80301
Phone (303) 415-5399

274 Union Blvd
Ste 200
Lakewood, CO 80228
Phone (303) 778-5666

Organizations & group practices 7

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 61

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

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1386164663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9049",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803019049",
            "telephone_number": "303-415-4101",
            "fax_number": "303-415-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 RIVERBEND RD STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012618",
            "telephone_number": "303-415-5399",
            "fax_number": "303-297-5808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W South Boulder Rd Ste 214C",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800262089",
            "country_code": "US",
            "telephone_number": "303-415-5399",
            "fax_number": "303-442-3363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802062762",
            "country_code": "US",
            "telephone_number": "303-398-1197 x1197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELF",
        "first_name": "ALYSSA",
        "middle_name": "AYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2017020317",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CO",
            "license": "DR.0072562",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CO",
            "license": "DR.0072562",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CO",
            "license": "DR.0072562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.