Organization Active NPI

Advanced Heart and Vein Center Inc

  • Interventional Cardiology Physician
  • Denver, CO
National Provider Identifier
1205433208
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
ADVANCED HEART AND VEIN CENTER INC
Practice address
4105 E Florida Ave Ste 200
Denver, CO 80222-3641
Phone
(720) 772-8040
Fax
(720) 805-1551
NPI assigned
Oct 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Qaisar Khan, MD
Title
President
Phone
(720) 772-8040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

4105 E Florida Ave Ste 200
Denver, CO 80222-3641

Mailing address

805 E 144TH Ave Ste 100
Thornton, CO 80023-9210
Phone (720) 772-8040

Other identifiers 1

IdentifierTypeStateIssuer
DR.0051263OtherCOCOLORADO MEDICAL LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Advanced Heart and Vein Center Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1601769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1205433208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E 144TH AVE STE 100",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "800239210",
            "telephone_number": "720-772-8040",
            "fax_number": "720-805-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 E FLORIDA AVE STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223641",
            "telephone_number": "720-772-8040",
            "fax_number": "720-805-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEART AND VEIN CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-04",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "QAISAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-772-8040",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO MEDICAL LICENSE",
            "identifier": "DR.0051263",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.