KIAN ALI MODANLOU (M.D.) – Surgery Physician, NPI 1790858520

KIAN ALI MODANLOU (M.D.) is a healthcare provider. based in Fort morgan, Colorado. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 2006020979 (MO). The NPI Number for KIAN ALI MODANLOU (M.D.) is 1790858520

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
KIAN ALI MODANLOU (M.D.)
NPI
1790858520
Phone
(970) 542-4371
Address
1000 Lincoln St Ste 207
Enumeration Date
17 November 2006
Last Update Date
12 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Secondary Phone
3038395669
Graduation Year
1999 (27 years ago)
PAC ID
5890796635
Group Practice PAC ID
9032002985
Professional Enrollment ID
I20150828001871
Address ID
CO802181255DE1601XAVEX402

Contacts

Secure Messaging
kian.modanlou@surgone.directbygreenway.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

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

View all Open Payments →|Open Payments Risk Radar →

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150828001871IGeneral SurgeryCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes5959$0
99214Established patient office or other outpatient visit, 30-39 minutes3831$0
49650Repair of groin hernia using an endoscope2020$0
99213Established patient office or other outpatient visit, 20-29 minutes1212$0
99205New patient office or other outpatient visit, 60-74 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 80701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032002985View full group profile
NameSpecialtyState
General SurgeryCO
O T O L A R Y N G O L O G YCO
-CO
General SurgeryCO
-CO
General Surgery, Surgical OncologyCO
O T O L A R Y N G O L O G YCO
U R O L O G YCA
Physician AssistantGA
Physician AssistantCO

Reviews

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Frequently asked questions

What identifier follows KIAN ALI MODANLOU (M.D.) across health systems?
The NPI 1790858520 uniquely identifies KIAN ALI MODANLOU (M.D.) in U.S. healthcare data.
Does the public listing show KIAN ALI MODANLOU (M.D.) as active?
KIAN ALI MODANLOU (M.D.)'s NPI record reflects an active status in NPPES.
How should patients interpret KIAN ALI MODANLOU (M.D.)'s specialty?
The extract shows Surgery Physician for KIAN ALI MODANLOU (M.D.). Clinical services aligned with this taxonomy classification.
What city is tied to KIAN ALI MODANLOU (M.D.)?
The directory associates KIAN ALI MODANLOU (M.D.) with Fort Morgan, Colorado. Check all listed addresses for suites or satellite offices.
Why is information missing for KIAN ALI MODANLOU (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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