ALIREZA ETEMADI (M.D.) – Family Medicine Physician, NPI 1902851918

ALIREZA ETEMADI (M.D.) is a healthcare provider. based in Louisville, Colorado. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. G67093 (CA). The NPI Number for ALIREZA ETEMADI (M.D.) is 1902851918

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
ALIREZA ETEMADI (M.D.)
NPI
1902851918
Phone
(303) 673-1000
Address
100 HEALTH PARK DR
Enumeration Date
24 May 2006
Last Update Date
23 November 2016

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
5754457720
Graduation Year
1988 (38 years ago)
PAC ID
0941114672
Group Practice PAC ID
5294647400
Professional Enrollment ID
I20230210000687
Address ID
NM877402012RA203XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,190 EMERGENCY MEDICINE in CO

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Provider Addresses for ALIREZA ETEMADI (M.D.)

  • Avista Adventist Campus, 100, Health Park Drive, Louisville, Boulder County, Colorado, 80027, United States

    LOUISVILLE, CO 800279583

    Phone: (303) 673-1000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-02-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20070126000556IFamily PracticeCATBD
I20140604002285IFamily PracticeTXTBD
I20160422000962IEmergency MedicineCOTBD
I20230210000687IEmergency MedicineNMTBD

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
99285Emergency department visit with high level of medical decision making2626$0
99284Emergency department visit with moderate level of medical decision making2121$0
99283Emergency department visit with low level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 80027)

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Provider's Procedures

ALIREZA ETEMADI (M.D.) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINECO93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1111

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: 5294647400View full group profile
NameSpecialtyState
-NM
-CO
Physician AssistantNM
-CO
-CO
General SurgeryTX
Diagnostic RadiologyFL
-TX
Cardiovascular Disease (Cardiology)NM
Certified Registered Nurse Anesthetist (Crna)CO

Reviews

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Frequently asked questions

How is ALIREZA ETEMADI (M.D.) identified in CMS data?
CMS-hosted NPPES data lists ALIREZA ETEMADI (M.D.) with NPI 1902851918.
Can I rely on ALIREZA ETEMADI (M.D.) being an active provider?
As of the registry snapshot, ALIREZA ETEMADI (M.D.) is marked active.
What is ALIREZA ETEMADI (M.D.)'s primary classification?
Family Medicine Physician is the headline specialty for ALIREZA ETEMADI (M.D.) here. Clinical services aligned with this taxonomy classification.
What area does ALIREZA ETEMADI (M.D.) serve?
ALIREZA ETEMADI (M.D.)'s listing highlights Louisville, Colorado; more addresses can appear in NPPES.
Is the information about ALIREZA ETEMADI (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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