Active NPI
Mahin B Jalilfar, PAC
- Physician Assistant
- Highlands Ranch, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA527
- Practice address
- 9285 Hepburn St
Highlands Ranch, CO 80129-2262 - Phone
- (303) 338-4545
- NPI assigned
- Oct 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA527 | CO | Primary |
Addresses
Primary practice location
9285 Hepburn St
Highlands Ranch, CO 80129-2262
Mailing address
9285 Hepburn St
Highlands Ranch, CO 80129-2262
Phone (303) 338-4545
Other practice location 1
4404 Barranca Ln Unit 101
Castle Rock, CO 80104-7432
Phone (720) 733-5260
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 348308 | Other | CO | MEDICARE GROUP PTAN |
| 79858228 | Medicaid | CO | |
| 007396 | Other | CO | KAISER COMMERCIAL NUMBER |
| C811604 | Other | CO | MEDICARE GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 527 | CO | MD | Marriage & Family Therapist |
| PA527 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Healthone Clinic Services - Occupational Medicine LLC | Past | Accepting new patients |
Locations
16951 E Quincy Ave
Aurora, CO 80015
Phone (303) 752-5470
4404 Barranca Ln
Unit 101
Castle Rock, CO 80104
Phone (720) 733-5260
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
4404 Barranca Ln
Ste 101
Castle Rock, CO 80104
Phone (720) 733-5260
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403
Organizations & group practices 3
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.
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1366763260
-
- Clinic/Center
- Denver, CO
- NPI 1558547646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566518400000",
"number": "1245229160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9285 HEPBURN ST",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292262",
"telephone_number": "303-338-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9285 HEPBURN ST",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292262",
"telephone_number": "303-338-4545"
}
],
"practiceLocations": [
{
"address_1": "4404 Barranca Ln Unit 101",
"address_purpose": "LOCATION",
"city": "Castle Rock",
"state": "CO",
"postal_code": "801047432",
"country_code": "US",
"telephone_number": "720-733-5260",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JALILFAR",
"first_name": "MAHIN",
"middle_name": "B",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-14",
"last_updated": "2019-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA527",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "348308",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "79858228",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER COMMERCIAL NUMBER",
"identifier": "007396",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "C811604",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.