Endoscopy Center of the Rockies LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1064 Issued in CO

Legal business name

ENDOSCOPY CENTER OF THE ROCKIES LLC

Practice address

1755 48TH St
Suite 100
Boulder, CO 80301-2711

Phone

(303) 604-5000

Fax

(720) 890-0364

NPI assigned

Jul 22, 2008

Last updated

Mar 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daus Mahnke, MDNPI 1306878566

Title

Board Member

Phone

(303) 604-5000

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Endoscopy Center of the Rockies Boulder Other name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Endoscopy Center of the Rockies LLC

  • Ambulatory Surgical Clinic/Center
  • Lafayette, CO
  • NPI 1700807617

  O20040331000229

  Same enrollment
• Endoscopy Center of the Rockies LLC

  • Ambulatory Surgical Clinic/Center
  • Longmont, CO
  • NPI 1811148869

  O20040331000229

  Same enrollment

Listed as

Endoscopy Center of the Rockies LLCCCN 06C0001089

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Boulder Community Health

  dba Community Medical Assoc of BCH

  • Medical Specialty Clinic/Center
  • Boulder, CO
  • NPI 1609422575

  Member Of

  NPD member

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.

• Daus Mahnke, M.D.

  • Gastroenterology Physician
  • Lafayette, CO
  • NPI 1306878566
  Authorized official Same address or phone

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1558526293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 S ARTHUR AVE",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800273094",
            "telephone_number": "303-604-5000",
            "fax_number": "720-890-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 48TH ST",
            "address_2": "SUITE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012711",
            "telephone_number": "303-604-5000",
            "fax_number": "720-890-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOSCOPY CENTER OF THE ROCKIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "MAHNKE",
        "authorized_official_first_name": "DAUS",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "303-604-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": "1064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95055011",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490005424",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "EN64670",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endoscopy Center of the Rockies Boulder",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Endoscopy Center of the Rockies Boulder",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberly Ann Emmert
• Chelsea Eve Empey, DPT
• Empower You Therapy Services
• Empowered Wellness, LLC
• Carolyn Margo Ende
• Adam Engel, PT, DPT
• Dawn Eileen Engel, LCSW
• Lori Anne Engel, PT,MSPT
• Rachel Engel, RM, CPM
• Natalie Joy Engelbart, D.C., F.A.C.F.N,

• Ambulatory Surgical Clinic/Center in Boulder, CO
• Providers in Boulder, CO by specialty
• Ambulatory Surgical Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.