Organization Active NPI

Denver Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Denver, CO
National Provider Identifier
1720052012
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
16H513 Issued in CO
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

Updated by the provider on Jul 18, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
99870550MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.