Individual provider Active NPI

Aaron C Kovaleski, M.D.

  • Vascular & Interventional Radiology Physician
  • Lone Tree, CO
National Provider Identifier
1831354539
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
0101260726 Issued in VA
Practice address
8080 Park Meadows Dr Ste 150
Lone Tree, CO 80124-2566
Phone
(720) 668-8818
Fax
(720) 710-9492
NPI assigned
Jul 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 0101260726 VA Primary

Addresses

Primary practice location

8080 Park Meadows Dr Ste 150
Lone Tree, CO 80124-2566

Mailing address

536 Meadowleaf LN
Highlands Ranch, CO 80126-5712
Phone (501) 425-8489

Other identifiers 1

IdentifierTypeStateIssuer
9000161370MedicaidCO

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
I20180413001428 CO Practitioner - Interventional Radiology 7719023258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
University of Arkansas College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endovascular Consultants of Colorado PCGroup PAC ID 5496180374, 5 clinicians

Practice addresses (Care Compare)

8080 Park Meadows Dr
Suite 150
Lone Tree, CO 80124-2566
Phone (720) 668-8818

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)131

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endovascular Consultants of Colorado PC Vascular & Interventional Radiology CurrentSince Aug 23, 2019 Accepting new patients
General Emergency Physicians, Inc. Emergency Medicine PastSince Jul 23, 2023 Accepting new patients

Locations

8080 Park Meadows Dr
Ste 150
Lone Tree, CO 80124
Phone (720) 668-8818

Organizations & group practices 2

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.

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": "1578873600000",
    "number": "1831354539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 MEADOWLEAF LN",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801265712",
            "telephone_number": "501-425-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 PARK MEADOWS DR STE 150",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242566",
            "telephone_number": "720-668-8818",
            "fax_number": "720-710-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVALESKI",
        "first_name": "AARON",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-22",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101260726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000161370",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.