Individual provider Active NPI

Alan Young Synn, M.D.

  • Vascular Surgery Physician
  • Denver, CO
National Provider Identifier
1912984386
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
34425 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
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 34425 CO Primary

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

7805 W 38th Ave
Wheat Ridge, CO 80033-6109
Phone (303) 539-0736

Other identifiers 2

IdentifierTypeStateIssuer
01344258MedicaidCO
770000991OtherCORAILROAD MEDICARE

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
I20100830000739 CO Practitioner - Vascular SurgeryPractitioner - General Practice 6406757244 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Practice
Education
University of California, Geffen School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
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)

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

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal28
Leg revascularization (restoring blood flow)11
Removal of tissue28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34425COMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Labs of the Rockies PLLC CurrentSince Jun 1, 2020 Accepting new patients
Annest Synn Nowak & Mubarak Professional LLC CurrentSince Aug 7, 1995 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Feb 1, 2017 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Feb 1, 2017 Accepting new patients

Locations

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

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

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

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

360 W Park Dr
Grand Junction, CO 81505
Phone (970) 244-2482

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

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

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

7805 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 431-2900

Organizations & group practices 4

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1912984386",
    "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": "7805 W 38th Ave",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "800336109",
            "country_code": "US",
            "telephone_number": "303-539-0736",
            "fax_number": "303-539-0737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYNN",
        "first_name": "ALAN",
        "middle_name": "YOUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CO",
            "license": "34425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01344258",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "770000991",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.