Individual provider Active NPI

Jan Harris Stahl, MD

  • Ophthalmology Physician
  • Lakewood, CO
National Provider Identifier
1841258704
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
31047 Issued in CO
Practice address
13772 Denver West Pkwy
BLDG#55 Ste#100
Lakewood, CO 80401-3139
Phone
(303) 279-6600
NPI assigned
May 2, 2006
Last updated
Jun 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 31047 CO Primary

Addresses

Primary practice location

13772 Denver West Pkwy
BLDG#55 Ste#100
Lakewood, CO 80401-3139

Mailing address

13772 Denver West Pkwy
BLDG#55 Ste#100
Lakewood, CO 80401-3139
Phone (303) 279-6600

Other identifiers 3

IdentifierTypeStateIssuer
180020563OtherCORAILROAD MEDICARE
04007241MedicaidCO
K2878OtherCOMEDICARE LEGACY

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
I20110420000795 CO Practitioner - OphthalmologyPractitioner - Family Practice 3971716879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.23 of 100Reported as group
Quality
84.06
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Eye Center Optical Current Accepting new patients
Denver Eye Surgeons, P.C. Ophthalmology CurrentSince Feb 13, 1995 Accepting new patients
Denver Eye Surgery Center, LLC PastSince Jan 1, 2011 Accepting new patients

Locations

13772 Denver West Pkwy
Ste 100
Lakewood, CO 80401
Phone (303) 279-2600

2555 E 13th St
Ste 225
Loveland, CO 80537
Phone (970) 221-2222

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1841258704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13772 DENVER WEST PKWY",
            "address_2": "BLDG#55 STE#100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013139",
            "telephone_number": "303-279-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13772 DENVER WEST PKWY",
            "address_2": "BLDG#55 STE#100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013139",
            "telephone_number": "303-279-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "JAN",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2023-06-05",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "31047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180020563",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04007241",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY",
            "identifier": "K2878",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.