Active NPI
Khemarin R Seng, MD
- Orthopaedic Surgery Physician
- Boulder, CO
National Provider Identifier
1740261676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- DR45610
- Practice address
- 4740 Pearl Pkwy Ste 200
Boulder, CO 80301-3080 - Phone
- (303) 449-2730
- Fax
- (303) 449-5821
- NPI assigned
- Nov 8, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | DR45610 | CO | Primary |
Addresses
Primary practice location
4740 Pearl Pkwy Ste 200
Boulder, CO 80301-3080
Mailing address
PO Box 7208
Loveland, CO 80537-0208
Phone (970) 663-2742
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
- Orthopedic Surgery
- Education
- University of Colorado School of Medicine, Denver, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4740 Pearl Pkwy
Suite 200
Boulder, CO 80301-3080
Phone (303) 449-2730
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR45610 | CO | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bouldercentre for Orthopedics PC | Orthopaedic Surgery | Current | Accepting new patients |
| Broomfield Orthopedic Surgery Center, LLC | Past | Accepting new patients | |
| Bouldercentre for Orthopedics | Orthopaedic Surgery | Past | Accepting new patients |
| Adventist Health Clearlake Hospital Inc. | Past | Accepting new patients |
Locations
4740 Pearl Pkwy
Ste 200
Boulder, CO 80301
1185 State Highway 7
Broomfield, CO 80023
Phone (303) 442-2666
1185 State Highway 7
Ste 200
Broomfield, CO 80023
Interoperability endpoints
- khemarin.seng.1@3497.direct.athenahealth.com
- https://api.platform.athenahealth.com/3497/brand/1/csg/21/fhir/r4
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.
-
- Orthopaedic Surgery Physician
- Boulder, CO
- NPI 1336197631
-
- Orthopaedic Surgery Physician
- Broomfield, CO
- NPI 1780448951
-
- Ambulatory Surgical Clinic/Center
- Broomfield, CO
- NPI 1487345328
-
- Critical Access Hospital
- Clearlake, CA
- NPI 1124018031
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": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1740261676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7208",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805370208",
"telephone_number": "970-663-2742",
"fax_number": "970-667-0847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4740 PEARL PKWY STE 200",
"city": "BOULDER",
"state": "CO",
"postal_code": "803013080",
"telephone_number": "303-449-2730",
"fax_number": "303-449-5821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENG",
"first_name": "KHEMARIN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CO",
"license": "DR45610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.