AHMENEH GHAVAM MD
NPI 1689961179
Pediatrics - Pediatric Critical Care Medicine in Colorado Springs, CO

Q: What is Ahmeneh Ghavam's NPI number?

The NPI number for Ahmeneh Ghavam is 1689961179. It was assigned to this individual provider in the NPPES registry on July 5, 2011.

Q: What is Ahmeneh Ghavam's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Ahmeneh Ghavam was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since July 05, 2011PECOS Enrolled

4090 BRIARGATE PKWY, COLORADO SPRINGS, CO 80920(303) 724-8393 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 3, 2024, Oct 24, 2022, May 19, 2022 and 3 more (6 updates tracked since 2017).

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About Ahmeneh Ghavam Md NPPES

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

AHMENEH GHAVAM MD (NPI 1689961179) is an individual pediatric critical care medicine provider in Colorado Springs, Colorado, licensed in Colorado (DR.0072720) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689961179

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameAHMENEH GHAVAMCredential: MD

Location Address4090 BRIARGATE PKWYColorado Springs, CO 80920-7815

Mailing AddressPo Box 110429Aurora, CO 80042-0429

Phone(303) 724-8393

Sole ProprietorNo

Enumeration DateJuly 5, 2011

Last NPPES UpdateJanuary 31, 20256 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2025

✔ NPI 1689961179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in CO · DR.0072720✔ Licensed in IL · 036143355

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

4090 BRIARGATE PKWY, Colorado Springs, CO 80920

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ahmeneh Ghavam Md 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.

Other Providers at the Same Location NPPES 20

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

CHRISTOPHER D CHINN MD

Anesthesiology (Pediatric Anesthesiology)