NPIMap

Individual provider Active NPI

Justin Yan, M.D.

  • Otolaryngology Physician
  • Arvada, CO
National Provider Identifier
1184990962
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
DR.0058858 Issued in CO
Practice address
7850 Vance Dr Ste 225
Arvada, CO 80003-2133
Phone
(303) 431-8881
Fax
(303) 456-8924
NPI assigned
Mar 27, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Otolaryngology Physician 207Y00000X DR.0058858 CO Primary

Addresses

Primary practice location

7850 Vance Dr Ste 225
Arvada, CO 80003-2133

Mailing address

7850 Vance Dr Ste 225
Arvada, CO 80003-2133
Phone (303) 431-8881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170725004017 CO Practitioner - Otolaryngology 4385963115 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Medical College of Wisconsin, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage ENT, LLPGroup PAC ID 4284626912, 11 clinicians

Practice addresses (Care Compare)

7850 Vance Dr
Suite 225
Arvada, CO 80003-2133
Phone (303) 431-8881

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.91 of 100Reported as group
Quality
79.82
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0058858COMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trauma and Emergency Subspecialty Surgeons PLLC CurrentSince Sep 1, 2018 Accepting new patients
Advantage ENT, LLP Otolaryngology CurrentSince Jul 31, 2017 Accepting new patients

Locations

7850 Vance Dr
Ste 225
Arvada, CO 80003
Phone (303) 255-5680

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

500 W 144th Ave
Ste 100
Westminster, CO 80023
Phone (303) 431-8881

3555 Lutheran Pkwy
Ste 160
Wheat Ridge, CO 80033
Phone (303) 422-3727

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBDHBA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1184990962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 VANCE DR STE 225",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800032133",
            "telephone_number": "303-431-8881",
            "fax_number": "303-456-8924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 VANCE DR STE 225",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800032133",
            "telephone_number": "303-431-8881",
            "fax_number": "303-456-8924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAN",
        "first_name": "JUSTIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CO",
            "license": "DR.0058858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.