Active NPI
Shahla Sadegh Mousavi, MD
- Family Medicine Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 50356
- Practice address
- 2100 Broadway
Denver, CO 80205-2526 - Phone
- (303) 293-2220
- Fax
- (303) 293-3977
- NPI assigned
- Jul 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 50356 | CO | Primary |
Addresses
Primary practice location
2100 Broadway
Denver, CO 80205-2526
Mailing address
5450 Western Ave
Boulder, CO 80301-2709
Phone (303) 415-8900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60474742 | Medicaid | CO |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Select Physical Therapy of West Denver Limited Partnership
Practice addresses (Care Compare)
22 S Adams St
Denver, CO 80209-2908
Phone (303) 321-2452
2995 Baseline Rd
Suite 210
Boulder, CO 80303-2318
Phone (303) 415-8900
3434 47TH St
Suite 107
Boulder, CO 80301-1817
Phone (303) 376-0184
Hospital & facility affiliations
- Boulder Community Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50356 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulder Community Health | Current | Accepting new patients | |
| Boulder Community Health | Current | Accepting new patients | |
| Boulder Community Health | Current | Accepting new patients |
Locations
5450 Western Ave
Boulder, CO 80301
Phone (303) 415-4770
1755 48th St
Ste 200
Boulder, CO 80301
Phone (303) 415-7450
1645 Broadway
Boulder, CO 80302
Phone (303) 415-8900
4747 Arapahoe Ave
Boulder, CO 80303
Phone (303) 415-7000
2995 Baseline Rd
Ste 210
Boulder, CO 80303
Phone (303) 415-8900
3 Superior Dr
Ste 100B
Superior, CO 80027
Phone (303) 415-8940
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Boulder, CO
- NPI 1821074196
-
- Physical Therapist
- Denver, CO
- NPI 1164620084
-
- Multi-Specialty Clinic/Center
- Boulder, CO
- NPI 1609822030
-
- Primary Care Clinic/Center
- Boulder, CO
- NPI 1740837137
Hospital & facility affiliations 34
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Boulder, CO
- NPI 1093357907
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510272000000",
"number": "1487819280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5450 WESTERN AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803012709",
"telephone_number": "303-415-8900",
"fax_number": "303-443-6476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 BROADWAY",
"city": "DENVER",
"state": "CO",
"postal_code": "802052526",
"telephone_number": "303-293-2220",
"fax_number": "303-293-3977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADEGH MOUSAVI",
"first_name": "SHAHLA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-22",
"last_updated": "2017-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "50356",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60474742",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2017; 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.