Alireza Etemadi, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

51266 Issued in CO

Practice address

100 Health Park Dr
Louisville, CO 80027-9583

Phone

(303) 673-1000

NPI assigned

May 24, 2006

Last updated

Nov 23, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CA, TX, CO, NM4 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

Specialty

Emergency Medicine

Education

Medical University of South Carolina College of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Miners' Colfax Medical CenterGroup PAC ID 5294647400, 22 clinicians

Colorado Complete Urgent Care Physicians LLCGroup PAC ID 4981988953, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Miners' Colfax Medical Center Hospital, Raton, NM, CCN 321307
• Miners' Colfax Medical Center Nursing home, CCN 32Z307

Merit-based Incentive Payment System (MIPS)

Final score

93.85 of 100Reported as group

Quality

91.15

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

85.56 of 100Reported as group

Quality

71.49

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alireza.etemadi.1@16730.direct.athenahealth.com
• FHIR API: https://fhir-myrecord.cerner.com/r4/1762c86e-d105-4afc-a3d1-9e89748c9af3/

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.

• Colorado Complete Urgent Care Physicians LLC

  • Urgent Care Clinic/Center
  • Colorado Springs, CO
  • NPI 1801339585
  Medicare reassignment Care Compare group NPD
• Miners Colfax Medical Center

  • Critical Access Hospital
  • Raton, NM
  • NPI 1083931109
  Medicare reassignment Care Compare group NPD
• Usacs of Colorado, Inc

  • Emergency Medicine Physician
  • Littleton, CO
  • NPI 1760415871
  Medicare reassignment NPD
• Canyon Springs Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • Alamo, TX
  • NPI 1154825412
  Medicare reassignment NPD
• Chase Dennis Emergency Medical Group Inc

  • Emergency Medicine Physician
  • Santa Rosa, CA
  • NPI 1033152350

  Family Medicine

  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment NPD
• Edinburg Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Edinburg, TX
  • NPI 1942467113
  Medicare reassignment NPD
• Municipal Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • Edinburg, TX
  • NPI 1396250650
  Medicare reassignment NPD
• Oak Creek Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • McAllen, TX
  • NPI 1629576632
  Medicare reassignment NPD
• Shavano Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • Edinburg, TX
  • NPI 1255820775
  Medicare reassignment NPD
• Portercare Adventist Health System

  dba Centura Health Physician Group Church Ranch Sports Medicine

  • Family Medicine Physician
  • Westminster, CO
  • NPI 1447655709
  NPD
• Portercare Adventist Health System

  dba Affiliated Ear, Nose & Throat Physicians

  • Otolaryngology Physician
  • Greenwood Village, CO
  • NPI 1760761928
  NPD

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

• Miners Colfax Medical Center

  • Critical Access Hospital
  • Raton, NM
  • NPI 1083931109
  Care Compare affiliation

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1902851918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HEALTH PARK DR",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279583",
            "telephone_number": "303-673-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HEALTH PARK DR",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279583",
            "telephone_number": "303-673-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETEMADI",
        "first_name": "ALIREZA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G67093",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "51266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G670930",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09250255",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "G67093",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G670930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faun Ellwood-Digel, PA-C
• Embody the Temple Healing Arts, LLC
• Jack Francis Emmons, D.D.S.
• Hope Engel, PT
• Samuel Eskenazi, RPH
• Evergreen Dental Anesthesia PLLC (Evergreen Dental Anesthesia)
• Excellence in Dentistry (Louisville Dental Associates)
• Exceptional Voice, Inc.
• Kylie Eynon, PT, DPT
• Christopher Fahs, PT

• Family Medicine Physician in Louisville, CO
• Providers in Louisville, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.

Verify at the official NPI Registry.