Individual provider Active NPI

Adam D Manchon, MD

  • Anesthesiology Physician
  • Denver, CO
National Provider Identifier
1972659571
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
45435 Issued in CO
Practice address
4380 S Syracuse St Ste 120
Denver, CO 80237-3094
Phone
(303) 422-9438
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 45435 CO Primary

Addresses

Primary practice location

4380 S Syracuse St Ste 120
Denver, CO 80237-3094

Mailing address

455 Sherman St
Ste 510
Denver, CO 80203-4400
Phone (303) 377-6825

Other practice location 1

455 Sherman
Suite 510
Denver, CO 80203-4405
Phone (303) 377-6825

Other practice location 2

1400 Jackson St
Denver, CO 80206-2761
Phone (303) 388-4461

Other identifiers 6

IdentifierTypeStateIssuer
10108327MedicaidCO
3506685MedicaidMT
200428570AMedicaidKS
84113438513MedicaidNE
1972659571MedicaidWY
92754058MedicaidNM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NJHealth@njc.allscriptsdirect.net

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
I20070702000227 CO Practitioner - Anesthesiology 6002915188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Kansas School of Med (KC/Wich/Sal), 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
National Jewish HealthGroup PAC ID 4587577028, 244 clinicians

Practice addresses (Care Compare)

1400 Jackson St
Denver, CO 80206-2761
Phone (303) 398-1355

1400 Jackson St
Denver, CO 80206-2762

Hospital & facility affiliations

  • National Jewish Health Hospital, Denver, CO, CCN 060107

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
69.37
Promoting interoperability
100
Improvement activities
40
Cost
65.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45435COMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
National Jewish Health CurrentSince Jul 1, 2021 Accepting new patients
Prime Anesthesia PLLC Anesthesiology CurrentSince Mar 1, 2020 Accepting new patients
Colorado Anesthesia Consultants, P.C. Anesthesiology Past Accepting new patients

Locations

4380 S Syracuse St
Ste 120
Denver, CO 80237
Phone (303) 220-0810

4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121

1400 Jackson St
Denver, CO 80206
Phone (303) 388-4461

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

Interoperability endpoints

  • Direct secure messaging: njhealth@njc.allscriptsdirect.net

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1972659571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SHERMAN ST",
            "address_2": "STE 510",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802034400",
            "telephone_number": "303-377-6825",
            "fax_number": "303-780-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4380 S SYRACUSE ST STE 120",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373094",
            "telephone_number": "303-422-9438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 Sherman",
            "address_2": "Suite 510",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802034405",
            "country_code": "US",
            "telephone_number": "303-377-6825",
            "fax_number": "303-780-0787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802062761",
            "country_code": "US",
            "telephone_number": "303-388-4461",
            "fax_number": "303-398-1211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANCHON",
        "first_name": "ADAM",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "45435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10108327",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3506685",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200428570A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84113438513",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972659571",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92754058",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NJHealth@njc.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1400 Jackson St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802062761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.