NPIMap

Organization Active NPI

Advanced Heart and Vein Center Inc

  • Interventional Cardiology Physician
  • Thornton, CO
National Provider Identifier
1942765607
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
ADVANCED HEART AND VEIN CENTER INC
Practice address
805 E 144TH Ave Ste 100
Thornton, CO 80023-9210
Phone
(720) 772-8040
Fax
(720) 805-1551
NPI assigned
Feb 7, 2019
Last updated
Feb 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Qaisar Khan, MDNPI 1952344301
Title
President Owner
Phone
(720) 772-8040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU
Clinical Cardiac Electrophysiology Physician 207RC0001X NU
Interventional Cardiology Physician 207RI0011X NU Primary

Addresses

Primary practice location

805 E 144TH Ave Ste 100
Thornton, CO 80023-9210

Mailing address

805 E 144TH Ave Ste 100
Thornton, CO 80023-9210
Phone (720) 772-8040

Other practice location 1

9141 Grant St Ste 125
Thornton, CO 80229-4367
Phone (720) 772-8040

Other practice location 2

4500 E 9th Ave Ste 540
Denver, CO 80220-3924
Phone (720) 772-8040

Other practice location 3

2801 Purcell St
Brighton, CO 80601-3551
Phone (720) 772-8040

Other practice location 4

4105 E Florida Ave Ste 200
Denver, CO 80222-3641
Phone (720) 772-8040

Other identifiers 1

IdentifierTypeStateIssuer
DR.0051263OtherCOCOLORADO MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190401000920 CO Part B Supplier - Clinic/Group Practice 3678814696 Receives reassigned benefits from 18 practitioners
Practice locations: Denver, CO; Thornton, CO; Brighton, CO

National Provider Directory

National Provider Directory

Locations

360 W Park Dr
Ste C
Grand Junction, CO 81505

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1942765607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E 144TH AVE STE 100",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "800239210",
            "telephone_number": "720-772-8040",
            "fax_number": "720-805-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E 144TH AVE STE 100",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "800239210",
            "telephone_number": "720-772-8040",
            "fax_number": "720-805-1551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9141 Grant St Ste 125",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802294367",
            "country_code": "US",
            "telephone_number": "720-772-8040",
            "fax_number": "720-805-1551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 E 9th Ave Ste 540",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802203924",
            "country_code": "US",
            "telephone_number": "720-772-8040",
            "fax_number": "720-805-1551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Purcell St",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "CO",
            "postal_code": "806013551",
            "country_code": "US",
            "telephone_number": "720-772-8040",
            "fax_number": "720-805-1551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4105 E Florida Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802223641",
            "country_code": "US",
            "telephone_number": "720-772-8040",
            "fax_number": "720-805-1551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED HEART AND VEIN CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-07",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "QAISAR",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "720-772-8040",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO MEDICAL LICENSE",
            "identifier": "DR.0051263",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.