SOURAV PODDAR (MD) – Family Medicine Physician, NPI 1750496733

SOURAV PODDAR (MD) is a healthcare provider. based in Aurora, Colorado. specializing in FAMILY PRACTICE, HOSPITALIST, SPORTS MEDICINE. They hold the professional credentials MD. They hold a License No. 37379 (CO). The NPI Number for SOURAV PODDAR (MD) is 1750496733

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
SOURAV PODDAR (MD)
NPI
1750496733
Phone
(720) 848-0000
Address
12605 E 16th Ave
Enumeration Date
20 August 2006
Last Update Date
4 November 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
7208480000
Graduation Year
1997 (29 years ago)
PAC ID
7012042583
Group Practice PAC ID
3476465667
Professional Enrollment ID
I20100323000385
Address ID
CO800452545AU12605AVEX413
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,661 FAMILY PRACTICE in CO

Provider Addresses for SOURAV PODDAR (MD)

  • 12605 E 16th Ave

    Aurora, CO 800452545

    Phone: (720) 848-0000

    Type: Location

  • PO BOX 110429

    AURORA, CO 800420429

    Phone: (303) 493-7000

    Type: Mailing

  • 2000 S COLORADO BLVD

    DENVER, CO 802227900

    Phone: (720) 848-8201

    Type: Location

  • University of Colorado Hospital, 12605, East 16th Avenue, Aurora, Adams County, Colorado, 80045, United States

    AURORA, CO 800452545

    Phone: (720) 848-0000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $280.

Total Amount is formed as General ($280) + Research ($0) + Ownership ($0) = $280.

Last reported payment date: 2024-08-24 • Largest payer in this snapshot: Ossur Americas, Inc. ($199).

Total Amount

$280

General + Research + Ownership

Payments

3

Total payment records

General Amount

$280

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100323000385IFamily PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
20610Aspiration and/or injection of fluid from large joint18470$0
99214Established patient office or other outpatient visit, 30-39 minutes12187$0
99203New patient office or other outpatient visit, 30-44 minutes8888$0
99213Established patient office or other outpatient visit, 20-29 minutes4438$0
99212Established patient office or other outpatient visit, 10-19 minutes2826$0
View full utilization report →

Insurance plans in this area (ZIP 80045)

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Provider's Procedures

SOURAV PODDAR (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINECO20610Aspiration and/or injection of large joint or joint capsule1912

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476465667View full group profile
NameSpecialtyState
-CO
Family PracticeCO
Advanced Heart Failure And Transplant Cardiology, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineCO
Emergency MedicineCO
Emergency MedicineCO
-CO
-CO
Emergency MedicineCO
-CO
-CO

Reviews

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Frequently asked questions

Can I use this page to confirm SOURAV PODDAR (MD)'s NPI?
Yes. SOURAV PODDAR (MD) is listed with NPI 1750496733 in the public NPI dataset.
Is SOURAV PODDAR (MD) still practicing?
SOURAV PODDAR (MD) is currently listed as active in the public NPI registry.
What is SOURAV PODDAR (MD)'s primary classification?
Family Medicine Physician is the headline specialty for SOURAV PODDAR (MD) here. Clinical services aligned with this taxonomy classification.
Does SOURAV PODDAR (MD) list a practice location?
Patients near Aurora, Colorado may find SOURAV PODDAR (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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