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Individual provider Active NPI

Keemia Soraya Heidari, MD

  • Orthopaedic Surgery of the Spine Physician
  • Greeley, CO
National Provider Identifier
1831684208
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
DR.0070534 Issued in CO
Practice address
6200 W 9TH St Unit 1B
Greeley, CO 80634-4462
Phone
(970) 590-7744
NPI assigned
Jun 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X DR.0070534 CO Primary

Addresses

Primary practice location

6200 W 9TH St Unit 1B
Greeley, CO 80634-4462

Mailing address

6200 W 9TH St Unit 1B
Greeley, CO 80634-4462

Other practice location 1

1635 Aurora Ct
Aurora, CO 80045-2541
Phone (720) 848-0000

Other names 1

  • Keemia Heidari Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230718003378 CO Practitioner - Orthopedic SurgeryPractitioner - General Surgery 4385004670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: General Surgery
Education
University of Southern California Keck School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Colorado Spine Center, LLCGroup PAC ID 9133211188, 5 clinicians

Practice addresses (Care Compare)

6200 W 9TH St Unit 1
North Colorado Spine and Orthopaedics
Greeley, CO 80634-4462
Phone (970) 353-5959

Hospital & facility affiliations

  • Poudre Valley Hospital Hospital, Fort Collins, CO, CCN 060010
  • Sterling Regional Medcenter Hospital, Sterling, CO, CCN 060076
  • East Morgan County Hospital Hospital, Brush, CO, CCN 061303
  • Medical Center of the Rockies Hospital, Loveland, CO, CCN 060119
  • Uchealth Greeley Hospital Hospital, Greeley, CO, CCN 060131

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion156
Laminectomy or laminotomy (partial removal of spine bones)75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Colorado Spine Center, LLC Orthopaedic Surgery of the Spine CurrentSince Jul 16, 2024 Accepting new patients

Locations

6200 W 9th St
Unit 1B
Greeley, CO 80634
Phone (970) 352-8333

Interoperability endpoints

  • Direct secure messaging: kheidari73208@direct.phhs.org

Organizations & group practices 1

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1831684208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 W 9TH ST UNIT 1B",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 W 9TH ST UNIT 1B",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344462",
            "telephone_number": "970-590-7744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1635 Aurora Ct",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452541",
            "country_code": "US",
            "telephone_number": "720-848-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEIDARI",
        "first_name": "KEEMIA SORAYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CO",
            "license": "DR.0070534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEEMIA",
            "last_name": "HEIDARI",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.