IndividualActive
Amelia Ravishankara
NPI 1154658664 · Specialist · Boulder, CO
Provider details
- NPI number
- 1154658664
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
580 Mohawk Drive
Baseline Medical Office
Boulder, CO 80302
Phone: (303) 614-1400
Street-level locationGet directions
Mailing address
7931 W 55th Ave
Arvada, CO 80002-3704
Registry dates
- Enumerated
- 2009-11-05
- Last updated
- 2009-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.