| Dr Omar Asa'ad Mubarak, MD | |
|
4105 E Florida Ave Ste 200, Denver, CO 80222-3641 | |
| (303) 539-0736 | |
| (303) 539-0737 |
| Full Name | Dr Omar Asa'ad Mubarak |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 26 Years |
| Location | 4105 E Florida Ave Ste 200, Denver, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740222322 | NPI | - | NPPES |
| 97483788 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 0044420 (Colorado) | Secondary |
| 174400000X | Specialist | 44420 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Joseph Hospital | Denver, CO | Hospital |
| Rose Medical Center | Denver, CO | Hospital |
| Community Hospital | Grand junction, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vascular Labs Of The Rockies Pllc | 0244654473 | 5 |
| Annest Synn Nowak And Mubarak Professional Llc | 8921909755 | 8 |
| Entity Name | Vail Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992812333 PECOS PAC ID: 3577475714 Enrollment ID: O20031105000224 |
| Entity Name | Montrose Memorial Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528083771 PECOS PAC ID: 1658272992 Enrollment ID: O20040119000579 |
| Entity Name | Annest Synn Nowak & Mubarak Professional Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477660850 PECOS PAC ID: 8921909755 Enrollment ID: O20040325000887 |
| Entity Name | Intermountain Medical Group Grand Junction, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356765556 PECOS PAC ID: 3779707856 Enrollment ID: O20140611000363 |
| Entity Name | Intermountain Medical Group Denver, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083021083 PECOS PAC ID: 0840513552 Enrollment ID: O20150106000131 |
| Entity Name | Vascular Labs Of The Rockies Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396374351 PECOS PAC ID: 0244654473 Enrollment ID: O20200721003704 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Omar Asa'ad Mubarak, MD 4105 E Florida Ave Ste 200, Denver, CO 80222-3641 Ph: (303) 539-0736 | Dr Omar Asa'ad Mubarak, MD 4105 E Florida Ave Ste 200, Denver, CO 80222-3641 Ph: (303) 539-0736 |