Individual provider Active NPI

Alan Jacob Hise, M.D.

  • Vascular & Interventional Radiology Physician
  • Lakewood, CO
National Provider Identifier
1447609466
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
DR.0067655 Issued in CO
Practice address
11600 W 2ND PL
Lakewood, CO 80228-1527
Phone
(303) 854-9888
NPI assigned
Jun 9, 2016
Last updated
Apr 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220707002269 CO Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 3870871874 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic 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
Colorado Imaging Associates P CGroup PAC ID 6800880055, 61 clinicians
Colorado Advanced Endovascular, LLCGroup PAC ID 7416485008, 13 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
86.64 of 100Reported as group
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

LicenseStateTypeSpecialty
DR.0067655COMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Imaging Associates P C Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
Colorado Advanced Endovascular, LLC Vascular & Interventional Radiology CurrentSince Mar 1, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 13

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

View all 13

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

Verify at the official NPI Registry.