NPIMap

Individual provider Active NPI

Premal S Trivedi, MD, MSE

  • Vascular & Interventional Radiology Physician
  • Aurora, CO
National Provider Identifier
1861750598
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
DR.0060492 Issued in CO
Practice address
12605 E 16TH Ave
Aurora, CO 80045
Phone
(720) 848-0000
NPI assigned
May 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X DR.0060492 CO
Diagnostic Radiology Physician 2085R0202X DR.0060492 CO
Vascular & Interventional Radiology Physician 2085R0204X DR.0060492 CO Primary

Addresses

Primary practice location

12605 E 16TH Ave
Aurora, CO 80045

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

12401 E 17th Ave
Department of Radiology
Aurora, CO 80045-2548
Phone (720) 848-6198

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
I20180828001780 CO Practitioner - Interventional RadiologyPractitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 3274760582 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology, Nuclear Medicine
Education
Georgetown University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • University of Colorado Hospital Authority Hospital, Aurora, CO, CCN 060024
  • Uchealth Highlands Ranch Hospital Hospital, Highlands Ranch, CO, CCN 060132

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0060492COMDNuclear Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians, Incorporated CurrentSince Aug 1, 2018 Accepting new patients
University Physicians, Incorporated CurrentSince Aug 1, 2018 Accepting new patients
University Physicians Incorporated Current Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology Current Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Aug 4, 2025 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Aug 4, 2025 Accepting new patients

Locations

12401 E 17th Ave
Aurora, CO 80045
Phone (720) 777-8613

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

875 W 136th Ave
Ste 100
Broomfield, CO 80023
Phone (303) 457-7700

100 Cook St
Ste 404
Denver, CO 80206
Phone (720) 516-9200

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

Dept 1061
Denver, CO 80256

100 Cook St
Ste 410
Denver, CO 80206
Phone (720) 516-9420

5589 Argonne St
Denver, CO 80249
Phone (303) 371-0330

100 Cook St
Ste 212
Denver, CO 80206
Phone (720) 516-9200

175 Inverness Dr W
Ste 150
Englewood, CO 80112
Phone (720) 516-9800

1500 Park Central Dr
Ste 301
Highlands Ranch, CO 80129
Phone (303) 265-3940

1500 Park Central Dr
Ste 401
Highlands Ranch, CO 80129
Phone (720) 516-4085

1500 Park Central Dr
Ste 202
Highlands Ranch, CO 80129
Phone (720) 516-2100

9135 Ridgeline Blvd
Ste 150
Highlands Ranch, CO 80129
Phone (720) 516-0637

16990 Village Center Dr E
Parker, CO 80134
Phone (303) 805-3020

Interoperability endpoints

  • Direct secure messaging: premal.trivedi.p203@direct.aac.nextgenshare.com

Organizations & group practices 6

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 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1861750598",
    "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": "80045",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12401 E 17th Ave",
            "address_2": "Department of Radiology",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452548",
            "country_code": "US",
            "telephone_number": "720-848-6198",
            "fax_number": "720-848-7315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "PREMAL",
        "middle_name": "S",
        "credential": "MD, MSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-01",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "CO",
            "license": "DR.0060492",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0060492",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CO",
            "license": "DR.0060492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.