Active NPI
Endoscopy Center of Western Colorado Inc
- Ambulatory Surgical Clinic/Center
- Grand Junction, CO
National Provider Identifier
1073757480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ENDOSCOPY CENTER OF WESTERN COLORADO INC
- Practice address
- 2460 Patterson Rd
Unit 4
Grand Junction, CO 81505-1280 - Phone
- (970) 245-0990
- NPI assigned
- Apr 29, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Masi Khaja, MD
- Title
- Owner
- Phone
- (970) 245-0990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
2460 Patterson Rd
Unit 4
Grand Junction, CO 81505-1280
Mailing address
2460 Patterson Road Unit 4
PO Box 1238
Grand Junction, CO 81505-1280
Phone (970) 245-0990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Endoscopy Center of Western Colorado Inc
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2004473 | Endoscopy Center of Western Colorado | Certificate of waiver | Mar 3, 2028 |
National Provider Directory
National Provider DirectoryLocations
2460 Patterson Rd
Unit 4
Grand Junction, CO 81505
Phone (970) 245-0990
Practitioners & affiliated clinicians
Practitioners 1
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": "1240963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393200000000",
"number": "1073757480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2460 PATTERSON ROAD UNIT 4",
"address_2": "PO BOX 1238",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815051280",
"telephone_number": "970-245-0990",
"fax_number": "970-245-2335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2460 PATTERSON RD",
"address_2": "UNIT 4",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815051280",
"telephone_number": "970-245-0990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDOSCOPY CENTER OF WESTERN COLORADO INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-29",
"last_updated": "2014-02-24",
"status": "A",
"authorized_official_last_name": "KHAJA",
"authorized_official_first_name": "MASI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-245-0990",
"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 Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.