KIAN ALI MODANLOU (M.D.) – Surgery Physician, NPI 1790858520
Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
756 GENERAL SURGERY in CO
Provider Addresses for KIAN ALI MODANLOU (M.D.)
1000 Lincoln St Ste 207
Fort Morgan, CO 807013290
Phone: (970) 542-4371
Fax: (970) 542-4373
Type: Location
701 E HAMPDEN AVE STE 420
ENGLEWOOD, CO 801132760
Phone: (303) 789-1877
Fax: (303) 789-2628
Type: Location
3333 S BANNOCK ST STE 350
ENGLEWOOD, CO 801102426
Phone: (303) 957-1310
Fax: (303) 761-4252
Type: Mailing
8490 E CRESCENT PKWY STE 380
GREENWOOD VILLAGE, CO 801112815
Phone: (303) 957-1310
Fax: (303) 761-4252
Type: Mailing
Porter Medical Plaza, 2535, South Downing Street, Denver, Denver County, Colorado, 80210, United States
SUITE 380
DENVER, CO 802105847
Phone: (303) 778-5797
Fax: (303) 778-5205
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 66 Open Payments records for all available years, with a total value of $50,434.
Total Amount is formed as General ($50,434) + Research ($0) + Ownership ($0) = $50,434.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($49,771).
Total Amount
$50,434
General + Research + Ownership
Payments
66
Total payment records
General Amount
$50,434
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $49,771 |
| Davol Inc. | $351 |
| Boston Scientific Corporation | $165 |
| Dilon Technologies, Inc. | $87 |
| AngioDynamics, Inc. | $29 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-08-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150828001871 | I | General Surgery | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 59 | 59 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 38 | 31 | $0 |
| 49650 | Repair of groin hernia using an endoscope | 20 | 20 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 12 | 12 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 80701)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| General Surgery | CO | |
| O T O L A R Y N G O L O G Y | CO | |
| - | CO | |
| General Surgery | CO | |
| - | CO | |
| General Surgery, Surgical Oncology | CO | |
| O T O L A R Y N G O L O G Y | CO | |
| U R O L O G Y | CA | |
| Physician Assistant | GA | |
| Physician Assistant | CO |
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