ALYSSA AYA SELF MD
NPI 1386164663
Internal Medicine - Pulmonary Disease in Boulder, CO

Active since June 27, 2017PECOS EnrolledAccepts Medicare Assignment
4820 RIVERBEND RD STE 100, BOULDER, CO 80301(303) 415-5399(303) 297-5808 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 14, 2026, Jul 1, 2024, Jun 27, 2017 (3 updates tracked since 2017).

About Alyssa Aya Self Md NPPES

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

ALYSSA AYA SELF MD (NPI 1386164663) is an individual pulmonary disease provider in Boulder, Colorado, licensed in Colorado (DR.0072562) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1386164663
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameALYSSA AYA SELFCredential: MD
Location Address4820 RIVERBEND RD STE 100Boulder, CO 80301-2618
Mailing AddressPo Box 9049Boulder, CO 80301-9049 · (303) 415-4101 · Fax (303) 415-4769
Fax(303) 297-5808
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 27, 2017
Last NPPES UpdateApril 14, 20263 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
NPI 1386164663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CO · DR.0072562
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2017020317 (MO)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License DR.0072562 (CO)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License DR.0072562 (CO)
4820 RIVERBEND RD STE 100, Boulder, CO 80301

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alyssa Aya Self Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658643499
PECOS Enrollment IDI20240611002170
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
26 services26 patients

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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
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 8

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

Internal Medicine (Pulmonary Disease)
4820 RIVERBEND RD STE 100
BOULDER, CO 80301
Internal Medicine (Pulmonary Disease)
4820 RIVERBEND RD STE 100
BOULDER, CO 80301
Internal Medicine (Pulmonary Disease)
4820 RIVERBEND RD STE 100
BOULDER, CO 80301
Internal Medicine (Pulmonary Disease)
4820 RIVERBEND RD STE 100
BOULDER, CO 80301
Nurse Practitioner (Family)
4820 RIVERBEND RD STE 100
BOULDER, CO 80301
Internal Medicine (Pulmonary Disease)
4820 RIVERBEND RD STE 100
BOULDER, CO 80301
Clinic/Center (Medical Specialty)
4820 RIVERBEND RD STE 100
BOULDER, CO 80301
Physician Assistant (Medical)
4820 RIVERBEND RD STE 100
BOULDER, CO 80301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alyssa Self's NPI number?

The NPI number for Alyssa Self is 1386164663. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Where is Alyssa Self located?

Alyssa Self practices at 4820 Riverbend Rd Ste 100, Boulder, CO 80301. The listed phone number is (303) 415-5399.

What is Alyssa Self's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Alyssa Self enrolled in Medicare?

Yes. Alyssa Self is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Alyssa Self was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.