NPIMap

Individual provider Active NPI

Jake Michael Chanin, M.S., M.D.

  • Cardiovascular Disease Physician
  • Denver, CO
National Provider Identifier
1336460872
Registry record updated Dec 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
269696 Issued in NY
Practice address
1960 N Ogden St Ste 110
Denver, CO 80218-3667
Phone
(303) 318-2460
NPI assigned
Jun 18, 2010
Last updated
Dec 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2010018454 MO
Interventional Cardiology Physician 207RI0011X 269696 NY
Cardiovascular Disease Physician 207RC0000X 269696 NY Primary

Addresses

Primary practice location

1960 N Ogden St Ste 110
Denver, CO 80218-3667

Mailing address

1960 N Ogden St Ste 110
Denver, CO 80218-3667
Phone (303) 318-2460

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
I20170717001219 CO Practitioner - Interventional Cardiology 8123398633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Washington University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1818 N Ogden St
Suite 400
Denver, CO 80218-1280
Phone (303) 318-2460

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010018454MOMDInternal Medicine Physician
269696NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Internal Medicine Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jul 1, 2017 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jul 1, 2017 Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Jan 1, 2021 Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Jan 1, 2021 Accepting new patients
Saint Joseph Hospital, Inc Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 6250
Broomfield, CO 80021
Phone (303) 272-0750

1818 N Ogden St
Ste 400
Denver, CO 80218
Phone (303) 318-2440

1960 N Ogden St
Ste 110
Denver, CO 80218
Phone (303) 318-2460

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

12905 W 40th Ave
Ste 305
Golden, CO 80401
Phone (303) 265-5730

300 Exempla Cir
Ste 310
Lafayette, CO 80026
Phone (303) 272-0500

11900 Grant St
Ste 240
Northglenn, CO 80233
Phone (303) 272-0500

3655 Lutheran Pkwy
Ste 201
Wheat Ridge, CO 80033
Phone (303) 420-0206

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

Organizations & group practices 6

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": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545436800000",
    "number": "1336460872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 N OGDEN ST STE 110",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802183667",
            "telephone_number": "303-318-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 N OGDEN ST STE 110",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802183667",
            "telephone_number": "303-318-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANIN",
        "first_name": "JAKE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.S., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2018-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2010018454",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "269696",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "269696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.