Organization Active NPI

Advanced Surgical Solutions, LLC

  • Surgery Physician
  • Fort Collins, CO
National Provider Identifier
1710703103
Registry record updated Apr 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ADVANCED SURGICAL SOLUTIONS, LLC
Practice address
3938 John F Kennedy Pkwy Unit 11B
Fort Collins, CO 80525-3087
Phone
(970) 567-2378
Fax
(970) 628-9951
NPI assigned
Dec 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2025

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

Authorized official

Name
Dr. Khoi Le, MDNPI 1942438023
Title
Manager
Phone
(812) 580-8682

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

3938 John F Kennedy Pkwy Unit 11B
Fort Collins, CO 80525-3087

Mailing address

1912 76TH Avenue CT
Greeley, CO 80634-8639
Phone (812) 580-8682

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250407001156 CO Part B Supplier - Clinic/Group Practice 1951825462 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Collins, CO; Greeley, CO

National Provider Directory

National Provider Directory

Locations

2001 S Shields St
Ste J3
Fort Collins, CO 80526
Phone (904) 315-1870

3938 John F Kennedy Pkwy
Unit 11B
Fort Collins, CO 80525
Phone (970) 567-2378

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745020800000",
    "number": "1710703103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 76TH AVENUE CT",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806348639",
            "telephone_number": "812-580-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3938 JOHN F KENNEDY PKWY UNIT 11B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253087",
            "telephone_number": "970-567-2378",
            "fax_number": "970-628-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGICAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2025-04-19",
        "certification_date": "2025-04-19",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "KHOI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "812-580-8682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2025; 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.