Active NPI
Kian Ali Modanlou, M.D.
- Surgery Physician
- Englewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- DR.0041865
- Practice address
- 701 E Hampden Ave Ste 420
Englewood, CO 80113-2760 - Phone
- (303) 789-1877
- Fax
- (303) 789-2628
- NPI assigned
- Nov 17, 2006
- Last updated
- May 12, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | 2006020979 | MO | |
| Surgery Physician | 208600000X | 2006020979 | MO | |
| Surgery Physician | 208600000X | DR.0041865 | CO | Primary |
Addresses
Primary practice location
701 E Hampden Ave Ste 420
Englewood, CO 80113-2760
Mailing address
8490 E Crescent Pkwy Ste 380
Greenwood Village, CO 80111-2815
Phone (303) 957-1310
Other practice location 1
1000 Lincoln St Ste 207
Fort Morgan, CO 80701-3290
Phone (970) 542-4371
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kian.modanlou@surgone.directbygreenway.com | Direct |
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
- General Surgery
- Education
- University of California, Davis School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Lincoln St
Fort Morgan, CO 80701-3290
Phone (970) 542-4371
1601 E 19TH Ave
Suite 6300
Denver, CO 80218-1255
Phone (303) 839-5669
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 16 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006020979 | MO | MD | Transplant Surgery Physician |
| DR.0041865 | CO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgone, PC | Surgery | Current | Accepting new patients |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Traumaone, PLLC | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Surgone, PC | Transplant Surgery | Current | Accepting new patients |
Locations
2350 Meadows Blvd
Castle Rock, CO 80109
Phone (720) 248-3413
9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193
2535 S Downing St
Ste 380
Denver, CO 80210
Phone (303) 260-2740
2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706
1601 E 19th Ave
Ste 6300
Denver, CO 80218
Phone (303) 839-5669
3333 S Bannock St
Ste 350
Englewood, CO 80110
Phone (303) 957-1310
701 E Hampden Ave
Ste 420
Englewood, CO 80113
Phone (303) 789-1877
1000 Lincoln St
Ste 207
Fort Morgan, CO 80701
Phone (970) 542-4371
1000 Lincoln St
Ste 208
Fort Morgan, CO 80701
Phone (970) 542-4371
8490 E Crescent Pkwy
Ste 380
Greenwood Village, CO 80111
Phone (303) 957-1310
10103 Ridgegate Pkwy
Ste 217
Lone Tree, CO 80124
Phone (303) 789-1877
41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551
Interoperability endpoints
- kian.modanlou@surgone.directbygreenway.com
Organizations & group practices 8
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.
-
dba Ctsa Cardiac Thor Surg
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Colorado Springs, CO
- NPI 1356783351
-
- Trauma Surgery Physician
- Greenwood Village, CO
- NPI 1457772162
-
dba Cbic Breastimaging Sah
- Diagnostic Radiology Physician
- Lakewood, CO
- NPI 1023381928
-
dba CommonSpirit Orthopedics Longmont
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1891675294
-
dba FSNH Womens Health
- Obstetrics & Gynecology Physician
- Firestone, CO
- NPI 1447869151
-
dba Affiliated Ear, Nose & Throat Physicians
- Otolaryngology Physician
- Greenwood Village, CO
- NPI 1760761928
-
- Surgery Physician
- Greenwood Village, CO
- NPI 1841747128
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Elizabeth Hospital
- General Acute Care Hospital
- Fort Morgan, CO
- NPI 1881337392
-
dba HCA HealthONE Swedish Hospital
- General Acute Care Hospital
- Englewood, CO
- NPI 1396790200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747008000000",
"number": "1790858520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8490 E CRESCENT PKWY STE 380",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801112815",
"telephone_number": "303-957-1310",
"fax_number": "303-761-4252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E HAMPDEN AVE STE 420",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801132760",
"telephone_number": "303-789-1877",
"fax_number": "303-789-2628"
}
],
"practiceLocations": [
{
"address_1": "1000 Lincoln St Ste 207",
"address_purpose": "LOCATION",
"city": "Fort Morgan",
"state": "CO",
"postal_code": "807013290",
"country_code": "US",
"telephone_number": "970-542-4371",
"fax_number": "970-542-4373",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MODANLOU",
"first_name": "KIAN",
"middle_name": "ALI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2025-05-12",
"certification_date": "2025-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "MO",
"license": "2006020979",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "2006020979",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "DR.0041865",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kian.modanlou@surgone.directbygreenway.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "701 E Hampden Ave Ste 420",
"city": "Englewood",
"state": "CO",
"country_code": "US",
"postal_code": "801132760",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.