Organization Active NPI

Gastroenterology Associates of Western Colorado,P C

  • Gastroenterology Physician
  • Grand Junction, CO
National Provider Identifier
1730386939
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
DR44639 Issued in CO
Legal business name
GASTROENTEROLOGY ASSOCIATES OF WESTERN COLORADO,P C
Practice address
744 Horizon CT
Suite 350Gi
Grand Junction, CO 81506-3921
Phone
(970) 245-0990
Fax
(970) 245-2335
NPI assigned
Jun 29, 2007
Last updated
Nov 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Dr. Masi Khaja, M.D.NPI 1982642526
Title
President
Phone
(970) 245-0990

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
Gastroenterology Physician 207RG0100X DR44639 CO Primary

Addresses

Primary practice location

744 Horizon CT
Suite 350Gi
Grand Junction, CO 81506-3921

Mailing address

744 Horizon CT
Suite 350 Gi
Grand Junction, CO 81506-3921
Phone (970) 245-0990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070728000261 CO Part B Supplier - Clinic/Group Practice 4587765912 Receives reassigned benefits from 4 practitioners
Practice locations: Grand Junction, CO

National Provider Directory

National Provider Directory

Locations

604 25 Rd
Grand Junction, CO 81505
Phone (720) 754-2156

744 Horizon Ct
Ste 350
Grand Junction, CO 81506
Phone (970) 241-7892

744 Horizon Ct
Ste 350GI
Grand Junction, CO 81506
Phone (970) 245-0990

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1730386939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 HORIZON CT",
            "address_2": "SUITE 350 GI",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815063921",
            "telephone_number": "970-245-0990",
            "fax_number": "970-245-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 HORIZON CT",
            "address_2": "SUITE 350GI",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815063921",
            "telephone_number": "970-245-0990",
            "fax_number": "970-245-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ASSOCIATES OF WESTERN COLORADO,P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "KHAJA",
        "authorized_official_first_name": "MASI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-245-0990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "DR44639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.