Surgical Center of Peak Endoscopy, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGICAL CENTER OF PEAK ENDOSCOPY, LLC

Practice address

2920 N Cascade Ave
First Floor
Colorado Springs, CO 80907-6262

Phone

(719) 362-2300

Fax

(719) 362-2266

NPI assigned

Jun 15, 2015

Organization subpart

No

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

Authorized official

Name

Bhaktasharan Patel, MDNPI 1053415463

Title

Managing Partner

Phone

(719) 310-6719

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Listed as

Surgical Center of Peak Endoscopy LLCCCN 06C0001155

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 5

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

• Bhaktasharan Chimanbhai Patel, MD

  • Gastroenterology Physician
  • Colorado Springs, CO
  • NPI 1053415463
  NPD Authorized official
• Prashant Vasanth Krishnan, M.D.

  • Gastroenterology Physician
  • Mesa, AZ
  • NPI 1689883993
  NPD
• Abigail Lynn Larson, PA-C

  • Medical Physician Assistant
  • Colorado Springs, CO
  • NPI 1396441432
  NPD (past)
• Vanessa Daisy Lee, MD

  • Gastroenterology Physician
  • Colorado Springs, CO
  • NPI 1912111691
  NPD (past)
• David Ian Peterson, PA

  • Medical Physician Assistant
  • Lone Tree, CO
  • NPI 1891482360
  NPD (past)

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1912388026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE STE 301",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076265",
            "telephone_number": "719-636-1201",
            "fax_number": "719-955-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE",
            "address_2": "FIRST FLOOR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076262",
            "telephone_number": "719-362-2300",
            "fax_number": "719-362-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL CENTER OF PEAK ENDOSCOPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BHAKTASHARAN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "719-310-6719",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neal Surani, DC
• McKenzie Surface
• Surgery Affiliates, LLC (Pinnacle Surgery Center)
• Derrick Surges
• Surgical Center at Premier LLC
• Surgical Savvy LLC
• Surgical Services Incorporated
• Jessica Surprenant, LPC
• Surprise Valley Health and Wellness Inc (Surprise Valley Behavioral Health)
• Surprise Valley Health and Wellness Inc

• Ambulatory Surgical Clinic/Center in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Ambulatory Surgical Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.