NPIMap

Organization Active NPI

Vista Surgical Group

  • Surgery Physician
  • Englewood, CO
National Provider Identifier
1336910751
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
VISTA SURGICAL GROUP
Practice address
601 E Hampden Ave Ste 200
Englewood, CO 80113-2788
Phone
(303) 788-5300
Fax
(303) 788-5363
NPI assigned
Jan 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Dr. Cassandra Lane Reynolds, MD, FACSNPI 1609037399
Title
Ceo
Phone
(303) 788-5300

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Surgical Critical Care PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0102X
Trauma Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0127X
Surgical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086X0206X

Addresses

Primary practice location

601 E Hampden Ave Ste 200
Englewood, CO 80113-2788

Mailing address

601 E Hampden Ave Ste 200
Englewood, CO 80113-2788
Phone (303) 788-5300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240806000057 CO Part B Supplier - Clinic/Group Practice 2365989514 Receives reassigned benefits from 18 practitioners
Practice locations: Englewood, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1336910751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E HAMPDEN AVE STE 200",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132788",
            "telephone_number": "303-788-5300",
            "fax_number": "303-788-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E HAMPDEN AVE STE 200",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132788",
            "telephone_number": "303-788-5300",
            "fax_number": "303-788-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA SURGICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-788-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACS"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.