Active NPI
Acute Care Surgery Medical Group, Inc.
- Surgery Physician
- Westminster,, CO
National Provider Identifier
1477239267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- ACUTE CARE SURGERY MEDICAL GROUP, INC.
- Practice address
- 14300 Orchard Parkway Suite #200
Westminster,, CO 80023 - Phone
- (720) 523-1174
- NPI assigned
- Jun 26, 2023
- 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
- Scott Flacks
- Title
- Coo
- Phone
- (916) 441-0400
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary | ||
| Surgical Critical Care Physician | 2086S0102X | |||
| Trauma Surgery Physician | 2086S0127X |
Addresses
Primary practice location
14300 Orchard Parkway Suite #200
Westminster,, CO 80023
Mailing address
PO Box 888102
Los Angeles, CA 90088-8102
Phone (916) 441-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221206002128 | CO | Part B Supplier - Clinic/Group Practice | 7214006816 |
Receives reassigned benefits from 57 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lakewood, CO; Westminster, CO |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Surgery Physician
- Sacramento, CA
- NPI 1700069549
O20221206002128
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 184
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgical Critical Care Physician
- Long Beach, CA
- NPI 1669639092
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687737600000",
"number": "1477239267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 888102",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900888102",
"telephone_number": "916-441-0400",
"fax_number": "916-441-0406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14300 ORCHARD PARKWAY SUITE #200",
"city": "WESTMINSTER,",
"state": "CO",
"postal_code": "80023",
"telephone_number": "720-523-1174"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACUTE CARE SURGERY MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-26",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A",
"authorized_official_last_name": "FLACKS",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "916-441-0400"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "2086S0102X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery, Surgical Critical Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery, Trauma Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westminster,, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.