Organization Active NPI

Endoscopy Center of Western Colorado Inc

  • Ambulatory Surgical Clinic/Center
  • Grand Junction, CO
National Provider Identifier
1073757480
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Feb 24, 2014

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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20091207000404 CO Part B Supplier - Ambulatory Surgical Center 2668511569 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Junction, CO

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Endoscopy Center of Western Colorado IncCCN 06C0001128
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2004473Endoscopy Center of Western Colorado2460 Patterson Road #4, Grand Junction, CO 81505Certificate of waiverMar 3, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.