Organization Active NPI

Millennium Park Medical Associates Denver Corp

  • Clinic/Center
  • Greenwood Village, CO
National Provider Identifier
1558919167
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MILLENNIUM PARK MEDICAL ASSOCIATES DENVER CORP
Practice address
7400 E Orchard Rd Ste 1000N
Greenwood Village, CO 80111-2530
Phone
(720) 928-5446
Fax
(312) 977-1185
NPI assigned
Aug 27, 2019
Last updated
Jul 14, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MILLENNIUM PARK MEDICAL ASSOCIATES, S.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Farah N Khan, MDNPI 1861434896
Title
Ceo
Phone
(312) 977-1185

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

7400 E Orchard Rd Ste 1000N
Greenwood Village, CO 80111-2530

Mailing address

30 S Michigan Ave Ste 500
Chicago, IL 60603-3205
Phone (312) 977-1185

Other practice location 1

30 S Michigan Ave Ste 500
Chicago, IL 60603-3205
Phone (312) 977-1185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191113000374 CO Part B Supplier - Clinic/Group Practice 4880026871 Receives reassigned benefits from 1 practitioner
Practice locations: Greenwood Village, CO

National Provider Directory

National Provider Directory
Part of
Millennium Park Med Assocts

Locations

30 S Michigan Ave
Ste 500
Chicago, IL 60603
Phone (312) 263-0099

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAGEBA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1558919167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S MICHIGAN AVE STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606033205",
            "telephone_number": "312-977-1185",
            "fax_number": "312-977-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 E ORCHARD RD STE 1000N",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112530",
            "telephone_number": "720-928-5446",
            "fax_number": "312-977-1185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 S Michigan Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606033205",
            "country_code": "US",
            "telephone_number": "312-977-1185",
            "fax_number": "312-977-1188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MILLENNIUM PARK MEDICAL ASSOCIATES DENVER CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILLENNIUM PARK MEDICAL ASSOCIATES, S.C.",
        "enumeration_date": "2019-08-27",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FARAH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-977-1185",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.