ALIREZA ETEMADI M.D.
NPI 1902851918
Family Medicine in Louisville, CO

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
65.06/100
CMS Quality Rating
100 HEALTH PARK DR, LOUISVILLE, CO 80027(303) 673-1000 Get Directions Write a Review

NPPES record last updated: November 23, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alireza Etemadi M.d. NPPES

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

ALIREZA ETEMADI M.D. (NPI 1902851918) is an individual family medicine provider in Louisville, Colorado, licensed in Colorado (51266) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Miners' Colfax Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (1988).

NPPES Registry Identity

NPI1902851918
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameALIREZA ETEMADICredential: M.D.
Location Address100 HEALTH PARK DRLouisville, CO 80027-9583
Mailing Address100 Health Park DrLouisville, CO 80027-9583 · (303) 673-1000
Sole ProprietorYes
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1988
Enumeration DateMay 24, 2006
Last NPPES UpdateNovember 23, 2016
NPI 1902851918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CO · 51266 Licensed in CA · G67093
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.
100 HEALTH PARK DR, Louisville, CO 80027

Other Identifiers 7

Medicare UPINF09006
Medicaid00G670930CA
Other00G670930CA · Blue Shield
OtherG67093CA · State License #
Medicaid09250255CO
Medicare PIN487056YTJECO
Medicare PINBL853ZCA

Accepted Insurance

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

Alireza Etemadi M.d. 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 ID941114672
PECOS Enrollment IDI20160422000962, I20230210000687
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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
17 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Miners' Colfax Medical Center

Critical Access Hospitals · Raton, NM
OwnershipGovernment - State
CMS Certification Number321307
Location203 Hospital DriveRaton, NM 87740 · Colfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80027 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

65.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality34.15
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner
100 HEALTH PARK DR
LOUISVILLE, CO 80027
Internal Medicine
100 HEALTH PARK DR
LOUISVILLE, CO 80027
Anesthesiology
100 HEALTH PARK DR
LOUISVILLE, CO 80027
Family Medicine
100 HEALTH PARK DR
LOUISVILLE, CO 80027
Registered Nurse (Lactation Consultant)
100 HEALTH PARK DR
LOUISVILLE, CO 80027
Dietitian, Registered
100 HEALTH PARK DR
LOUISVILLE, CO 80027
Pediatrics
100 HEALTH PARK DR
LOUISVILLE, CO 80027
Pediatrics (Neonatal-Perinatal Medicine)
100 HEALTH PARK DR
LOUISVILLE, CO 80027

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 Alireza Etemadi's NPI number?

The NPI number for Alireza Etemadi is 1902851918. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Alireza Etemadi located?

Alireza Etemadi practices at 100 Health Park Dr, Louisville, CO 80027. The listed phone number is (303) 673-1000.

What is Alireza Etemadi's specialty?

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

Is Alireza Etemadi enrolled in Medicare?

Yes. Alireza Etemadi 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.

What insurance does Alireza Etemadi accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma, Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan and 1 other insurer list Alireza Etemadi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Alireza Etemadi affiliated with any hospitals?

According to CMS data, Alireza Etemadi is affiliated with Miners' Colfax Medical Center.

When was this NPI record last updated?

The NPPES record for Alireza Etemadi was last updated on November 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.