Provider Demographics
NPI:1255379426
Name:BISARYA, SAMEER (MD)
Entity type:Individual
Prefix:DR
First Name:SAMEER
Middle Name:
Last Name:BISARYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13901 E EXPOSITION AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-2535
Mailing Address - Country:US
Mailing Address - Phone:303-327-4700
Mailing Address - Fax:303-327-4711
Practice Address - Street 1:8671 S QUEBEC ST STE 110
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80130-5860
Practice Address - Country:US
Practice Address - Phone:303-799-8760
Practice Address - Fax:303-799-8767
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO44362207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
804968Medicare ID - Type Unspecified
I50735Medicare UPIN