Individual provider Active NPI

Deepak Kumar Honaganahalli, M.D

  • Internal Medicine Physician
  • Greenwood Village, CO
National Provider Identifier
1619114337
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR.0047606 Issued in CO
Practice address
7000 E Belleview Ave Ste 209
Greenwood Village, CO 80111-1622
Phone
(720) 482-3777
Fax
(720) 482-3776
NPI assigned
Jan 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DR.0047606 CO Primary
Internal Medicine Physician 207R00000X 224530 MA

Addresses

Primary practice location

7000 E Belleview Ave Ste 209
Greenwood Village, CO 80111-1622

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-4034

Other identifiers 1

IdentifierTypeStateIssuer
09787224MedicaidCO

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
I20090701000465 CO Practitioner - Internal Medicine 8426109547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

7000 E Belleview Ave
Suite 209
Greenwood Village, CO 80111-1622
Phone (970) 350-2438

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224530MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Vista Community Health Centers CurrentSince Apr 1, 2011 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Mar 11, 2019 Accepting new patients
Peak Vista Community Health Centers CurrentSince Apr 1, 2011 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Mar 11, 2019 Accepting new patients
Uchealth Community Services Past Accepting new patients

Locations

15240 W 64th Ave
Arvada, CO 80007
Phone (303) 463-7180

16951 E Quincy Ave
Aurora, CO 80015
Phone (303) 752-5470

340 E 1st Ave
Ste 101
Broomfield, CO 80020
Phone (303) 544-3800

4404 Barranca Ln
Ste 101
Castle Rock, CO 80104
Phone (720) 733-5260

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

225 S Union Blvd
Ste 1
Colorado Springs, CO 80910

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

340 Printers Pkwy
Colorado Springs, CO 80910
Phone (719) 228-6635

311 Steele St
Denver, CO 80206
Phone (303) 372-4000

1700 N Marion St
Denver, CO 80218
Phone (303) 830-6666

7000 E Belleview Ave
Ste 209
Greenwood Village, CO 80111
Phone (303) 850-9715

7000 E Belleview Ave
Greenwood Village, CO 80111
Phone (303) 846-6239

206 W County Line Rd
Ste 300
Highlands Ranch, CO 80129
Phone (303) 795-5980

8155 Piney River Ave
Ste 100
Littleton, CO 80125
Phone (303) 265-3370

9695 S Yosemite St
Ste 224
Lone Tree, CO 80124
Phone (303) 265-3970

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

19964 Hilltop Rd
Ste A
Parker, CO 80134
Phone (303) 841-2212

Organizations & group practices 5

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 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1619114337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071",
            "telephone_number": "970-624-4034",
            "fax_number": "970-490-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 E BELLEVIEW AVE STE 209",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111622",
            "telephone_number": "720-482-3777",
            "fax_number": "720-482-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONAGANAHALLI",
        "first_name": "DEEPAK",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-16",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0047606",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "224530",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09787224",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.