Active NPI
Audubon Ambulatory Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Colorado Springs, CO
National Provider Identifier
1174592844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 0253
- Legal business name
- AUDUBON AMBULATORY SURGERY CENTER LLC
- Doing business as
- Audubon Surgery Center
- Practice address
- 3030 N Circle Dr
Suite 101
Colorado Springs, CO 80909-1177 - Phone
- (719) 867-7500
- Fax
- (719) 867-7596
- NPI assigned
- Mar 15, 2006
- 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
- Jill Finke
- Title
- Officer/Authorized Official
- Phone
- (210) 478-5430
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 0253 | CO | Primary |
Addresses
Primary practice location
3030 N Circle Dr
Suite 101
Colorado Springs, CO 80909-1177
Mailing address
14201 Dallas Pkwy
Dallas, TX 75254-2916
Phone (719) 867-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45005036 | Medicaid | CO |
Other names 1
- Audubon Surgery Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100122000114 | CO | Part B Supplier - Ambulatory Surgical Center | 4385536663 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Colorado Springs, CO |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Ambulatory Surgical Clinic/Center
- Colorado Springs, CO
- NPI 1770180986
O20100122000114
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Audubon Ambulatory Surgery Center LLC
- Medicare certification status
- Terminated Voluntary: merger or closure, Oct 26, 2025
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Audubon Ambulatory Surgery Center LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryMember of 3
Organizations this organization is a member of, according to the National Provider Directory.
-
- Skilled Nursing Facility
- Colorado Springs, CO
- NPI 1427839646
Member Of
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Colorado Springs, CO
- NPI 1851358964
Member Of
Locations
3030 N Circle Dr
Ste 101
Colorado Springs, CO 80909
Phone (719) 867-7500
14201 Dallas Pkwy
Fl 13
Dallas, TX 75254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746576000000",
"number": "1174592844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14201 DALLAS PKWY",
"city": "DALLAS",
"state": "TX",
"postal_code": "752542916",
"telephone_number": "719-867-7500",
"fax_number": "719-867-7596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 N CIRCLE DR",
"address_2": "SUITE 101",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809091177",
"telephone_number": "719-867-7500",
"fax_number": "719-867-7596"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUDUBON AMBULATORY SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-15",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A",
"authorized_official_last_name": "FINKE",
"authorized_official_first_name": "JILL",
"authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "210-478-5430"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CO",
"license": "0253",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "45005036",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 S Price Rd Ste B",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Audubon Surgery Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Audubon Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.