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MARJAN SEDIGHA BOLOURI M.D. NPI 1790930535


NPI Information

NPI: 1790930535
Provider Name: MARJAN SEDIGHA BOLOURI, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
501 E HAMPDEN AVE
ENGLEWOOD, CO
ZIP 80113
Phone: (303) 761-9190
Get Directions

Marjan Sedigha Bolouri, M.D. is a diagnostic radiology radiology in Englewood, CO with 16 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Marjan Sedigha Bolouri, M.D. NPI is 1790930535. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:2008

The provider's business location address is:

501 E HAMPDEN AVE
ENGLEWOOD, CO
ZIP 80113-702
Phone: (303) 761-9190
Fax: (720) 874-4462

The NPI 1790930535 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Mammography of both breasts (HCPCS:77067)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)

The enumeration date for this NPI number is 11/20/2008 and was last updated on 12/7/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology27754NEBRASKANo
22085R0202XRadiologyDiagnostic Radiology04-37113KANSASNo
32085R0202XRadiologyDiagnostic Radiology17588HAWAIINo
42085R0202XRadiologyDiagnostic Radiology53503COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110026277500MEDICAIDNEBRASKA
21002627770MEDICAIDNEBRASKA
31790930535MEDICAIDWYOMING
4201098850AMEDICAIDKANSAS
510025709000MEDICAIDNEBRASKA
6200545800AMEDICAIDOKLAHOMA
710026277600MEDICAIDNEBRASKA
810026277800MEDICAIDNEBRASKA
992403328MEDICAIDNEW MEXICO
101790930535MEDICAIDIOWA
110000343871OTHERHAWAIIHMSA ALL PRODUCTS
1210026277300MEDICAIDNEBRASKA
1310026277400MEDICAIDNEBRASKA
141790930535MEDICAIDMONTANA
1547184841MEDICAIDCOLORADO
161790930535MEDICAIDUTAH
17935836MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.