NPIMap

Individual provider Active NPI

Omar Asa'Ad Mubarak, MD

  • Specialist
  • Denver, CO
National Provider Identifier
1740222322
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
44420 Issued in CO
Practice address
4105 E Florida Ave Ste 200
Denver, CO 80222-3641
Phone
(303) 539-0736
Fax
(303) 539-0737
NPI assigned
Jun 11, 2006
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 44420 CO Primary
Vascular Surgery Physician 2086S0129X 0044420 CO

Addresses

Primary practice location

4105 E Florida Ave Ste 200
Denver, CO 80222-3641

Mailing address

4105 E Florida Ave Ste 200
Denver, CO 80222-3641
Phone (303) 539-0736

Other practice location 1

4110 Briargate Pkwy Ste 460
Colorado Springs, CO 80920-7839
Phone (719) 364-6487

Other identifiers 1

IdentifierTypeStateIssuer
97483788MedicaidCO

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
I20060908000307 CO Practitioner - Vascular Surgery 9638173487 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Colorado School of Medicine, Denver, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vail Clinic IncGroup PAC ID 3577475714, 117 clinicians
Annest Synn Nowak and Mubarak Professional LLCGroup PAC ID 8921909755, 11 clinicians
Vascular Labs of the Rockies PLLCGroup PAC ID 0244654473, 5 clinicians

Practice addresses (Care Compare)

181 W Meadow Dr
Vail Health Hospital
Vail, CO 81657-5242
Phone (970) 476-2451

1960 N Ogden St
Denver, CO 80218-3667

310 County Rd
Suite 14
Del Norte, CO 81132-8758
Phone (719) 657-2510

360 W Park Dr
Vascular Institute of the Rockies
Grand Junction, CO 81505-1448
Phone (970) 852-4847

3970 Youngfield St
Wheat Ridge, CO 80033-3865
Phone (303) 539-0736

4105 E Florida Ave
Denver, CO 80222-3641
Phone (303) 539-0736

4105 E Florida Ave
Suite 100
Denver, CO 80222-3636
Phone (303) 539-0736

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion13
Varicose vein removal26
Leg revascularization (restoring blood flow)23
Removal of tissue27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44420COMDSpecialist
0044420COMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Feb 14, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Feb 14, 2025 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Jan 17, 2017 Accepting new patients
Vascular Labs of the Rockies ASC, LLC Current Accepting new patients
Vascular Labs of the Rockies PLLC Vascular Surgery CurrentSince Apr 14, 2018 Accepting new patients
Montrose Memorial Hospital, Inc CurrentSince Aug 9, 2024 Accepting new patients
Annest Synn Nowak & Mubarak Professional LLC Specialist CurrentSince Jul 10, 2006 Accepting new patients
Montrose Memorial Hospital, Inc Current Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Jan 17, 2017 Accepting new patients
Montrose Memorial Hospital, Inc CurrentSince Aug 9, 2024 Accepting new patients
Vail Clinic, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Vail Clinic Inc CurrentSince Oct 1, 2023 Accepting new patients
Vail Clinic, Inc. Current Accepting new patients
St Mary's Hospital and Medical Center, Inc Past Accepting new patients

Locations

1280 Village Rd
#324C
Beaver Creek, CO 81620
Phone (970) 949-0800

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

1601 E 19th Ave
Ste 3950
Denver, CO 80218
Phone (303) 539-0736

1830 N Franklin St
Ste 340
Denver, CO 80218
Phone (303) 318-3330

4105 E Florida Ave
Denver, CO 80222
Phone (303) 539-0736

4105 E Florida Ave
Ste 100
Denver, CO 80222
Phone (303) 539-0736

4105 E Florida Ave
Ste 200
Denver, CO 80222
Phone (303) 364-1057

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

360 W Park Dr
Ste 101B
Grand Junction, CO 81505
Phone (970) 852-4847

340 Exempla Cir
Ste 300
Lafayette, CO 80026
Phone (303) 673-1390

3330 S Rio Grande Ave
Ste 200
Montrose, CO 81401
Phone (970) 249-6737

800 S 3rd St
Montrose, CO 81401
Phone (970) 240-2211

181 W Meadow Dr
Vail, CO 81657
Phone (970) 479-5157

181 W Meadow Dr
Ste 100
Vail, CO 81657
Phone (970) 479-5036

3970 Youngfield St
Wheat Ridge, CO 80033
Phone (303) 539-0736

Organizations & group practices 15

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.

View all 15

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1740222322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 E FLORIDA AVE STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223641",
            "telephone_number": "303-539-0736",
            "fax_number": "303-539-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 E FLORIDA AVE STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223641",
            "telephone_number": "303-539-0736",
            "fax_number": "303-539-0737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4110 Briargate Pkwy Ste 460",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809207839",
            "country_code": "US",
            "telephone_number": "719-364-6487",
            "fax_number": "719-364-6488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUBARAK",
        "first_name": "OMAR",
        "middle_name": "ASA'AD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "44420",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CO",
            "license": "0044420",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97483788",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.