Organization Active NPI

Lone Tree Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Lone Tree, CO
National Provider Identifier
1043819873
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LONE TREE SURGERY CENTER, LLC
Practice address
9218 Kimmer Dr Ste 101
Lone Tree, CO 80124-6733
Phone
(303) 623-2680
NPI assigned
Oct 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Authorized official

Name
Dr. Giancarlo Checa, MDNPI 1003889833
Title
Member
Phone
(303) 623-2680

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

9218 Kimmer Dr Ste 101
Lone Tree, CO 80124-6733

Mailing address

9218 Kimmer Dr Ste 101
Lone Tree, CO 80124-6733
Phone (303) 623-2680

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210521001049 CO Part B Supplier - Ambulatory Surgical Center 1052710142 Practice locations: Lone Tree, CO

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Lone Tree Surgery CenterCCN 06C0001187
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Networks

  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1043819873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9218 KIMMER DR STE 101",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246733",
            "telephone_number": "303-623-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9218 KIMMER DR STE 101",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246733",
            "telephone_number": "303-623-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE TREE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "CHECA",
        "authorized_official_first_name": "GIANCARLO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "303-623-2680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.