Organization Active NPI

Chris Thiagarajah MD Incorporated

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Edwards, CO
National Provider Identifier
1467200790
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
Legal business name
CHRIS THIAGARAJAH MD INCORPORATED
Practice address
1140 Edwards Village Blvd Unit B206
Edwards, CO 81632-5562
Phone
(720) 509-9889
Fax
(720) 528-7671
NPI assigned
May 10, 2024
Last updated
May 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Authorized official

Name
Christopher Thiagarajah, MDNPI 1952435919
Title
President/Physician
Phone
(202) 550-1190

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X Primary

Addresses

Primary practice location

1140 Edwards Village Blvd Unit B206
Edwards, CO 81632-5562

Mailing address

PO Box 12466
Denver, CO 80212-0466
Phone (720) 509-9889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240517000681 CO Part B Supplier - Clinic/Group Practice 4082055355 Receives reassigned benefits from 1 practitioner
Practice locations: Edwards, CO
O20240628000899 NE Part B Supplier - Clinic/Group Practice 4082055355 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsbluff, NE

National Provider Directory

National Provider Directory

Locations

8301 E Prentice Ave
Ste 403
Greenwood Village, CO 80111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1467200790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12466",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802120466",
            "telephone_number": "720-509-9889",
            "fax_number": "720-528-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 EDWARDS VILLAGE BLVD UNIT B206",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816325562",
            "telephone_number": "720-509-9889",
            "fax_number": "720-528-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS THIAGARAJAH MD INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "THIAGARAJAH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "202-550-1190",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwards, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.