Individual provider Active NPI

Kenneth J. Allan, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Greenwood Village, CO
National Provider Identifier
1780683581
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
38390 Issued in CO
Practice address
7350 E Progress PL
Ste 201
Greenwood Village, CO 80111-2135
Phone
(720) 282-4707
Fax
(303) 539-4767
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 38390 CO
Pain Medicine (Anesthesiology) Physician 207LP2900X 38390 CO Primary

Addresses

Primary practice location

7350 E Progress PL
Ste 201
Greenwood Village, CO 80111-2135

Mailing address

7350 E Progress PL
Ste 201
Greenwood Village, CO 80111-2135
Phone (720) 282-4707

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
I20070606000060 CO Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 0244234466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Cincinnati College of Medicine and Surgery, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7350 E Progress PL
Suite 210
Greenwood Village, CO 80111-2130
Phone (720) 282-4707

7350 E Progress Place
Suite 201
Greenwood Village, CO 80111-2130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38390COMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stat Anesthesia Specialists, LTD. Anesthesiology Past Accepting new patients
Interventional Pain Management, LTD. Anesthesiology Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1780683581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 E PROGRESS PL",
            "address_2": "STE 201",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112135",
            "telephone_number": "720-282-4707",
            "fax_number": "303-539-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 E PROGRESS PL",
            "address_2": "STE 201",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112135",
            "telephone_number": "720-282-4707",
            "fax_number": "303-539-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLAN",
        "first_name": "KENNETH",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "38390",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CO",
            "license": "38390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.