Active NPI
Alan Jacob Hise, M.D.
- Vascular & Interventional Radiology Physician
- Lakewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- DR.0067655
- Practice address
- 11600 W 2ND PL
Lakewood, CO 80228-1527 - Phone
- (303) 854-9888
- NPI assigned
- Jun 9, 2016
- Last updated
- Apr 19, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | DR.0067655 | CO | |
| Vascular & Interventional Radiology Physician | 2085R0204X | DR.0067655 | CO | Primary |
Addresses
Primary practice location
11600 W 2ND PL
Lakewood, CO 80228-1527
Mailing address
1819 Denver West Dr
Suite 101
Lakewood, CO 80401-3172
Phone (303) 854-9888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Texas a & M University System, HSC, College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11600 W 2ND PL
Lakewood, CO 80228-1527
Phone (303) 433-9729
355 Union Blvd
Suite 100
Lakewood, CO 80228-1500
Phone (720) 669-3036
Hospital & facility affiliations
- Centura Health-St Anthony Hospital
- Centura Health-St Anthony North Health Campus
- St Anthony Summit Medical Center
- St. Catherine Hospital - Garden City
- Orthocolorado Hosp at St Anthony Med Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.64 of 100
- Quality
- 86.81
- Improvement activities
- 40
- Cost
- 77.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0067655 | CO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Imaging Associates P C | Diagnostic Radiology | Current | Accepting new patients |
| Colorado Advanced Endovascular, LLC | Vascular & Interventional Radiology | Current | Accepting new patients |
Locations
16280 W 64th Ave
Arvada, CO 80007
Phone (303) 925-4450
16320 W 64th Ave
Arvada, CO 80007
Phone (303) 925-4560
7375 W 52nd Ave
Ste 210
Arvada, CO 80002
Phone (720) 741-0810
400 N Park Ave
Ste 1A
Breckenridge, CO 80424
Phone (970) 547-9200
2350 Meadows Blvd
Castle Rock, CO 80109
Phone (720) 248-3413
310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510
32214 Ellingwood Trl
Ste 210
Evergreen, CO 80439
Phone (303) 679-2020
1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320
760 Warner Dr
Golden, CO 80401
Phone (303) 925-4360
235 W Fletcher St
Haxtun, CO 80731
Phone (970) 522-7743
11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010
11650 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-5160
11700 W 2nd Pl
Ste 150
Lakewood, CO 80228
Phone (720) 321-8020
1819 Denver West Dr
Ste 101
Lakewood, CO 80401
Phone (303) 854-9888
255 S Routt St
Lakewood, CO 80228
Phone (303) 406-9556
255 S Routt St
Ste 300
Lakewood, CO 80228
Phone (720) 321-8280
355 Union Blvd
Ste 100
Lakewood, CO 80228
Phone (720) 669-3036
822 W 4th St
Leadville, CO 80461
Phone (719) 486-0230
1950 Mountain View Ave
Longmont, CO 80501
Phone (303) 651-5000
100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000
9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000
4075 E 128th Ave
Thornton, CO 80241
Phone (303) 925-4210
8451 Pearl St
Thornton, CO 80229
Phone (303) 227-9981
2551 W 84th Ave
Westminster, CO 80031
Phone (303) 202-1280
400 W 144th Ave
Westminster, CO 80023
Phone (720) 627-0000
Interoperability endpoints
- coloradoadvancedendovascular.alanhise@159105.advancedmd-direct.com
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.
-
- Vascular & Interventional Radiology Physician
- Lakewood, CO
- NPI 1629829098
-
- Diagnostic Radiology Physician
- Lakewood, CO
- NPI 1255306726
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Anthony North Hospital
- General Acute Care Hospital
- Westminster, CO
- NPI 1619985942
-
dba 84th Avenue Imaging Center
- General Acute Care Hospital
- Westminster, CO
- NPI 1013557545
-
dba 84th Avenue Emergency/Urgent Care
- Emergency Care Clinic/Center
- Westminster, CO
- NPI 1093355604
Hospital
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1104466630
-
dba St. Anthony Hospital
- General Acute Care Hospital
- Lakewood, CO
- NPI 1164430567
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1568002095
-
dba St. Anthony Summit Hospital
- General Acute Care Hospital
- Frisco, CO
- NPI 1720096092
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1740820273
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1831739440
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1912547449
-
dba Flight for Life Colorado
- Air Ambulance
- Lakewood, CO
- NPI 1992425854
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1447609466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 DENVER WEST DR",
"address_2": "SUITE 101",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "804013172",
"telephone_number": "303-854-9888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11600 W 2ND PL",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802281527",
"telephone_number": "303-854-9888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HISE",
"first_name": "ALAN",
"middle_name": "JACOB",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-09",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "DR.0067655",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CO",
"license": "DR.0067655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.