Active NPI
Denver Endoscopy Center LLC
- Ambulatory Surgical Clinic/Center
- Denver, CO
National Provider Identifier
1720052012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 16H513
- Legal business name
- DENVER ENDOSCOPY CENTER LLC
- Practice address
- 8155 East 1St Avenue
Denver, CO 80230 - Phone
- (303) 344-4844
- Fax
- (303) 344-4564
- NPI assigned
- Feb 14, 2006
- 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
- Thomas Trouillot, MD
- Title
- Medical Director
- Phone
- (303) 344-4844
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 0121 | CO | |
| Ambulatory Surgical Clinic/Center | 261QA1903X | 16H513 | CO | Primary |
Addresses
Primary practice location
8155 East 1St Avenue
Denver, CO 80230
Mailing address
11221 Roe Avenue
Suite 320
Leawood, KS 66211-1878
Phone (303) 344-4844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99870550 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040412001317 | CO | Part B Supplier - Ambulatory Surgical Center | 2961496047 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Denver, CO |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
8155 E 1st Ave
Denver, CO 80230
Phone (303) 344-4844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405641600000",
"number": "1720052012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11221 ROE AVENUE",
"address_2": "SUITE 320",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111878",
"telephone_number": "303-344-4844",
"fax_number": "303-344-4564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8155 EAST 1ST AVENUE",
"city": "DENVER",
"state": "CO",
"postal_code": "80230",
"telephone_number": "303-344-4844",
"fax_number": "303-344-4564"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENVER ENDOSCOPY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-14",
"last_updated": "2014-07-18",
"status": "A",
"authorized_official_last_name": "TROUILLOT",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "303-344-4844",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CO",
"license": "0121",
"primary": false
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CO",
"license": "16H513",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "99870550",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.