Individual provider Active NPI

Pushpa Rauniyar

  • General Practice Physician
  • Centennial, CO
National Provider Identifier
1396590469
Registry record updated Apr 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0999576 Issued in CO
Practice address
5161 E Arapahoe Rd
Centennial, CO 80122-2387
Phone
(720) 488-0055
NPI assigned
Apr 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0999576 CO Primary

Addresses

Primary practice location

5161 E Arapahoe Rd
Centennial, CO 80122-2387

Mailing address

19128 E Harvard Dr
Aurora, CO 80013-6434
Phone (720) 951-9990

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240603004277 CO Practitioner - Nurse Practitioner 6204378417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mednow Clinics, IncGroup PAC ID 0042533242, 56 clinicians

Practice addresses (Care Compare)

5161 E Arapahoe Rd
Suite 290
Centennial, CO 80122-4810
Phone (720) 488-0055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0999576COMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mednow Clinics, Inc CurrentSince May 6, 2024 Accepting new patients
Mednow Clinics, Inc. Past Accepting new patients

Locations

5161 E Arapahoe Rd
Ste 290
Centennial, CO 80122
Phone (720) 488-0055

15101 E Iliff Ave
Ste 140
Denver, CO 80014
Phone (303) 584-7850

1555 S Wadsworth Blvd
Lakewood, CO 80232
Phone (303) 985-1597

Interoperability endpoints

  • Direct secure messaging: pushpa.rauniyar.1@14209.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14209/brand/2/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714262400000",
    "number": "1396590469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19128 E HARVARD DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800136434",
            "telephone_number": "720-951-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5161 E ARAPAHOE RD",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801222387",
            "telephone_number": "720-488-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUNIYAR",
        "first_name": "PUSHPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-28",
        "certification_date": "2024-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CO",
            "license": "0999576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.