Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DANIEL DEAN FATHALIKHANI DO
NPI 1114629714
Family Medicine in Boulder, CO

Q: What is Daniel Fathalikhani's NPI number?

The NPI number for Daniel Fathalikhani is 1114629714. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Daniel Fathalikhani's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 20, 2023PECOS Enrolled

2919 VALMONT RD STE 204, BOULDER, CO 80301(303) 938-1110 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 6, 2026, Mar 20, 2023 (2 updates tracked since 2023).

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About Dr. Daniel Dean Fathalikhani Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DANIEL DEAN FATHALIKHANI DO (NPI 1114629714) is an individual family medicine provider in Boulder, Colorado, licensed in Colorado (DR.0078050) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114629714

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. DANIEL DEAN FATHALIKHANICredential: DO

Location Address2919 VALMONT RD STE 204Boulder, CO 80301-1350

Mailing Address2919 Valmont Rd Ste 204Boulder, CO 80301-1350 · (303) 938-1110

Phone(303) 938-1110

Sole ProprietorNo

Enumeration DateMarch 20, 2023

Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1114629714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CO · DR.0078050

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2919 VALMONT RD STE 204, Boulder, CO 80301

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Daniel Dean Fathalikhani Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY ZEMLICKA AGNP-C

Nurse Practitioner