Organization Active NPI

Front Range Endoscopy Centers, LLC

  • Ambulatory Surgical Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1962609560
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
16C871 Issued in CO
Legal business name
FRONT RANGE ENDOSCOPY CENTERS, LLC
Practice address
719 N Cascade Ave
Colorado Springs, CO 80903-3205
Phone
(719) 433-7224
Fax
(719) 433-7225
NPI assigned
Jun 28, 2007
Last updated
Oct 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Authorized official

Name
Dr. Bhaktasharan C Patel, M.D.NPI 1053415463
Title
President
Phone
(719) 433-7224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 16C871 CO Primary

Addresses

Primary practice location

719 N Cascade Ave
Colorado Springs, CO 80903-3205

Mailing address

2920 N Cascade Ave Ste 301
Colorado Springs, CO 80907-6265
Phone (719) 636-1201

Other identifiers 1

IdentifierTypeStateIssuer
48781339MedicaidCO

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Front Range Endoscopy Centers LLCCCN 06C0001119
Medicare certification status
Terminated Voluntary: merger or closure, Apr 1, 2024From the Provider of Services file

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1962609560",
    "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": "719 N CASCADE AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033205",
            "telephone_number": "719-433-7224",
            "fax_number": "719-433-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT RANGE ENDOSCOPY CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BHAKTASHARAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-433-7224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": "16C871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48781339",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • 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 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.