COLORADO FACIAL PLASTIC SURGERY CENTER INC
NPI 1114068376
Specialist in Englewood, CO

Q: What is Colorado Facial Plastic Surgery Center Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since February 09, 2007

3600 S LOGAN ST, SUITE 100, ENGLEWOOD, CO 80113(303) 839-7980(303) 839-7936 Get Directions Write a Review

NPPES record last updated: March 1, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Colorado Facial Plastic Surgery Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLORADO FACIAL PLASTIC SURGERY CENTER INC (NPI 1114068376) is a healthcare organization registered as a specialist in Englewood, Colorado and active in the NPI registry since February 2007. The organization lists Mario J Imola, Owner, as its authorized official.

NPPES Registry Identity

NPI1114068376

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameCOLORADO FACIAL PLASTIC SURGERY CENTER INC

Location Address3600 S LOGAN ST, SUITE 100Englewood, CO 80113-3766

Mailing Address3600 S Logan St, Suite 100Englewood, CO 80113-3766 · (303) 839-7980 · Fax (303) 839-7936

Phone(303) 839-7980

Fax(303) 839-7936

Organization SubpartNo

Authorized OfficialMario J ImolaOwner · (303) 839-7980

Enumeration DateFebruary 9, 2007

Last NPPES UpdateMarch 1, 2016

✔ NPI 1114068376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CO · 38335

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3600 S LOGAN ST, Englewood, CO 80113

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Other Identifiers 4

OtherIM642698CO · Bcbs

Medicaid08671281CO

Medicare PINC37821CO

Medicare UPING11247CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colorado Facial Plastic Surgery Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Colorado Facial Plastic Surgery Center Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Mario Imola, MD

Plastic and Reconstructive Surgery

NPI 1932101490

3600 S LOGAN ST SUITE 100
Englewood, CO 80113

(303) 839-7980

✔ PECOS✔ Accepts MedicareSame address

Sydney Zaransky, DO

Otolaryngology

NPI 1194353300

3600 S LOGAN ST STE 100
Englewood, CO 80113

(303) 839-7980

✔ PECOS✔ Accepts MedicareSame address

David Kowalczyk, M.D., M.B.A.

Otolaryngology

NPI 1437599842

1855 W TAYLOR ST # MC648
Chicago, IL 60612

(312) 255-8812

✔ PECOS✔ Accepts Medicare919 mi

Harkaran Rana, DO

Ophthalmology

NPI 1922508530

9040 JACKSON AVE
Tacoma, WA 98431

(253) 968-2252

✔ PECOS✔ Accepts Medicare1,020 mi

Kevin Tie, MD

Otolaryngology

NPI 1548837982

330 BROOKLINE AVE
Boston, MA 02215

(617) 632-9236

✔ PECOS✔ Accepts Medicare1,769 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colorado Facial Plastic Surgery Center Inc's NPI number?

The NPI number for Colorado Facial Plastic Surgery Center Inc is 1114068376. It was assigned to this organization in the NPPES registry on February 9, 2007.

Where is Colorado Facial Plastic Surgery Center Inc located?

Colorado Facial Plastic Surgery Center Inc is located at 3600 S Logan St Suite 100, Englewood, CO 80113. The listed phone number is (303) 839-7980.

What is Colorado Facial Plastic Surgery Center Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Colorado Facial Plastic Surgery Center Inc enrolled in Medicare?

Yes. Colorado Facial Plastic Surgery Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Colorado Facial Plastic Surgery Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Colorado Facial Plastic Surgery Center Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Otolaryngology (3), Ophthalmology (1) and Plastic and Reconstructive Surgery (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Colorado Facial Plastic Surgery Center Inc was last updated on March 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.