Individual provider Active NPI

Ali Zirakzadeh, M.D.

  • Internal Medicine Physician
  • Boulder, CO
National Provider Identifier
1609846567
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR.0049158 Issued in CO
Practice address
5495 Arapahoe Ave Ste 100
Boulder, CO 80303-1224
Phone
(303) 415-4250
Fax
(303) 440-9629
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DR.0049158 CO Primary

Addresses

Primary practice location

5495 Arapahoe Ave Ste 100
Boulder, CO 80303-1224

Mailing address

PO Box 9049
Boulder, CO 80301-9049
Phone (303) 415-4250

Other practice location 1

777 Bannock St
Mail Code 0151
Denver, CO 80204-4507
Phone (303) 602-8270

Other identifiers 1

IdentifierTypeStateIssuer
398689600MedicaidMN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110121000708 CO Practitioner - Internal Medicine 0042287898 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Boulder Community HealthGroup PAC ID 6800707233, 260 clinicians

Practice addresses (Care Compare)

22 S Adams St
Denver, CO 80209-2908
Phone (303) 321-2452

5495 Arapahoe Ave
Suite 100
Boulder, CO 80303-1224
Phone (303) 415-4250

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Colorado Springs, CO, CCN 067129
  • Boulder Community Health Hospital, Boulder, CO, CCN 060027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0049158COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Community Health CurrentSince Aug 15, 2022 Accepting new patients
Denver Health and Hospital Authority CurrentSince Sep 19, 2010 Accepting new patients
Denver Health and Hospital Authority CurrentSince Sep 19, 2010 Accepting new patients
Boulder Community Health CurrentSince Aug 15, 2022 Accepting new patients
Boulder Community Health Current Accepting new patients
Boulder Community Health Past Accepting new patients
Boulder Community Health Past Accepting new patients

Locations

6685 Gunpark Dr
Ste 110
Boulder, CO 80301
Phone (303) 415-7599

5450 Western Ave
Boulder, CO 80301
Phone (303) 415-4770

1645 Broadway
Boulder, CO 80302
Phone (303) 415-8900

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

5495 Arapahoe Ave
Ste 100
Boulder, CO 80303
Phone (303) 415-4250

777 Bannock St
#151
Denver, CO 80204
Phone (303) 602-8270

777 Bannock St
Denver, CO 80204

101 Erie Pkwy
Ste 201C
Erie, CO 80516
Phone (303) 415-5816

Organizations & group practices 8

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.

Hospital & facility affiliations 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1609846567",
    "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": "303-415-4250",
            "fax_number": "303-440-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5495 ARAPAHOE AVE STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031224",
            "telephone_number": "303-415-4250",
            "fax_number": "303-440-9629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Bannock St",
            "address_2": "Mail Code 0151",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802044507",
            "country_code": "US",
            "telephone_number": "303-602-8270",
            "fax_number": "303-602-8277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIRAKZADEH",
        "first_name": "ALI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0049158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "398689600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.