Colorado Internal Medicine Associates, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

37217 Issued in CO

Legal business name

COLORADO INTERNAL MEDICINE ASSOCIATES, PC

Practice address

3940 Broadlands LN
Broomfield, CO 80023-9541

Phone

(303) 460-7391

NPI assigned

Jan 12, 2011

Last updated

Jan 12, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Indira Mahalingam, M.D.NPI 1164583324

Title

President

Phone

(303) 460-7391

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Indira Mahalingam, M.D.

  • Internal Medicine Physician
  • Broomfield, CO
  • NPI 1164583324
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1437454147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 BROADLANDS LN",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800239541",
            "telephone_number": "303-460-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 BROADLANDS LN",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800239541",
            "telephone_number": "303-460-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO INTERNAL MEDICINE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "MAHALINGAM",
        "authorized_official_first_name": "INDIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-460-7391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "37217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.