Organization Active NPI

Denver Cyberknife, LLC

  • Radiation Oncology Clinic/Center
  • Lone Tree, CO
National Provider Identifier
1902046576
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
Legal business name
DENVER CYBERKNIFE, LLC
Practice address
10463 Park Meadows Dr
Suite 114
Lone Tree, CO 80124-5316
Phone
(303) 396-1400
Fax
(303) 643-9646
NPI assigned
Feb 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Authorized official

Name
James Fagelson, MDNPI 1558354928
Title
Authorized Official
Phone
(303) 733-8848

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
Radiation Oncology Clinic/Center 261QX0203X Primary

Addresses

Primary practice location

10463 Park Meadows Dr
Suite 114
Lone Tree, CO 80124-5316

Mailing address

10463 Park Meadows Dr
Suite 114
Lone Tree, CO 80124-5316
Phone (303) 396-1400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090612000235 CO Part B Supplier - Radiation Therapy Center 7113077181 Receives reassigned benefits from 4 practitioners
Practice locations: Lone Tree, CO

National Provider Directory

National Provider Directory

Member of 1

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

Practitioners & affiliated clinicians

Practitioners 8

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": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1902046576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10463 PARK MEADOWS DR",
            "address_2": "SUITE 114",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245316",
            "telephone_number": "303-396-1400",
            "fax_number": "303-643-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10463 PARK MEADOWS DR",
            "address_2": "SUITE 114",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245316",
            "telephone_number": "303-396-1400",
            "fax_number": "303-643-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER CYBERKNIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "FAGELSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "303-733-8848",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.