Individual provider Active NPI

Marjan Sedigha Bolouri, M.D.

  • Diagnostic Radiology Physician
  • Aurora, CO
National Provider Identifier
1790930535
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
53503 Issued in CO
Practice address
12605 E 16TH Ave
Aurora, CO 80045-2520
Phone
(720) 848-0000
NPI assigned
Nov 20, 2008
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 53503 CO Primary
Diagnostic Radiology Physician 2085R0202X 04-37113 KS
Diagnostic Radiology Physician 2085R0202X 17588 HI
Diagnostic Radiology Physician 2085R0202X 27754 NE

Addresses

Primary practice location

12605 E 16TH Ave
Aurora, CO 80045-2520

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

501 E Hampden Ave
Englewood, CO 80113-2702
Phone (303) 761-9190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, KS, CO, HI4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20130520000298 CA Practitioner - Diagnostic Radiology 2264679828 Reassigns benefits to 1 organization
I20140612000119 KS Practitioner - Diagnostic Radiology 2264679828 Reassigns benefits to 1 organization
I20140709001079 CO Practitioner - Diagnostic Radiology 2264679828 Reassigns benefits to 7 organizations
I20141007002778 HI Practitioner - Diagnostic Radiology 2264679828 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Baylor College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uchealth Imaging Services LLCGroup PAC ID 5799021291, 247 clinicians
Radiology Imaging Associates PCGroup PAC ID 2860391257, 147 clinicians
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

100 Cook St
Suite 100
Denver, CO 80206-5327
Phone (720) 516-9420

10107 Ridgegate Pkwy
Suite 110
Lone Tree, CO 80124-5638
Phone (720) 493-3539

10800 E Geddes Ave
Suite 300
Englewood, CO 80112-3895
Phone (303) 761-9190

12605 E 16TH Ave
Uchealth Anschutz Medical Campus
Aurora, CO 80045-2545
Phone (720) 848-0000

2055 N High St
Suite 180
Denver, CO 80205-5552
Phone (303) 761-9190

400 Indiana St
Suite 130
Golden, CO 80401-5043
Phone (720) 493-3411

500 Ala Moana Blvd
Suite 5B
Honolulu, HI 96813-4981
Phone (808) 275-2008

8200 Southpark Ter
Littleton, CO 80120-5614
Phone (720) 493-3251

Merit-based Incentive Payment System (MIPS)

Final score
84.14 of 100Reported as group
Quality
83.98
Improvement activities
40
Cost
76.51

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53503COMDDiagnostic Radiology Physician
17588HIMDDiagnostic Radiology Physician
04-37113KSMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Jul 1, 2013 Accepting new patients
University of California SFGH Medical Group Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Hawaii Radiologic Associates, LTD. Diagnostic Radiology CurrentSince Nov 1, 2014 Accepting new patients
Banner Imaging Services Colorado LLC Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT Diagnostic Radiology CurrentSince Aug 1, 2014 Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology CurrentSince Sep 17, 2017 Accepting new patients
Banner Imaging Services Colorado LLC CurrentSince Oct 1, 2020 Accepting new patients
Dodge City Diagnostic, LLC CurrentSince Jan 2, 2018 Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology CurrentSince Sep 17, 2017 Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients

Locations (25 of 27)

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

1400 S Potomac St
Ste 180
Aurora, CO 80012
Phone (303) 695-2603

9681 Prominent Pt
Ste 130
Colorado Springs, CO 80924
Phone (719) 600-3700

2055 N High St
Ste 180
Denver, CO 80205
Phone (303) 839-7490

10700 E Geddes Ave
Ste 200
Englewood, CO 80112

10800 E Geddes Ave
Ste 300
Englewood, CO 80112
Phone (303) 791-9190

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

701 E Hampden Ave
Ste 110
Englewood, CO 80113
Phone (303) 515-2023

400 Indiana St
Ste 130
Golden, CO 80401
Phone (720) 493-3411

2001 70th Ave
Ste 100
Greeley, CO 80634
Phone (970) 352-8487

8200 E Belleview Ave
Ste 124C
Greenwood Village, CO 80111
Phone (720) 493-3272

8200 E Belleview Ave
Ste 200E
Greenwood Village, CO 80111
Phone (303) 850-3200

707 N Iowa St
Gunnison, CO 81230
Phone (970) 641-1771

711 N Taylor St
Gunnison, CO 81230
Phone (970) 641-1456

6169 S Balsam Way
Ste 170
Littleton, CO 80123
Phone (303) 841-3100

8200 Southpark Ter
Littleton, CO 80120
Phone (720) 493-3251

10107 Ridgegate Pkwy
Ste 110
Lone Tree, CO 80124
Phone (720) 493-3539

10450 Park Meadows Dr
Ste 105
Lone Tree, CO 80124
Phone (303) 925-0075

1900 Boise Ave
Ste 110
Loveland, CO 80538
Phone (970) 810-6070

2555 E 13th St
Ste 100
Loveland, CO 80537
Phone (970) 461-6193

12219 Pine Bluffs Way
Ste 111
Parker, CO 80134

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

670 Ponahawai St
Ste 110
Hilo, HI 96720
Phone (808) 933-2540

82 Puuhonu Pl
Ste 102
Hilo, HI 96720
Phone (808) 961-4745

500 Ala Moana Blvd
Ste 5B
Honolulu, HI 96813
Phone (808) 275-2008

Organizations & group practices 26

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1790930535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12605 E 16TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452520",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 E Hampden Ave",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801132702",
            "country_code": "US",
            "telephone_number": "303-761-9190",
            "fax_number": "720-874-4462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLOURI",
        "first_name": "MARJAN",
        "middle_name": "SEDIGHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "53503",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "04-37113",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "17588",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "27754",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.