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SDG CASTLE ROCK ENDOSCOPY CENTER
NPI 1306353586
Clinic/Center - Ambulatory Surgical in Castle Rock, CO

Active since January 09, 2018CLIA 06D2148413 · Waiver
3911 AMBROSIA ST # 200, CASTLE ROCK, CO 80109(303) 788-8888(303) 788-6452 Get Directions Write a Review

NPPES record last updated: January 24, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 17, 2018, Jan 9, 2018 (2 updates tracked since 2018).

About Sdg Castle Rock Endoscopy Center NPPES

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

SDG CASTLE ROCK ENDOSCOPY CENTER (NPI 1306353586) is a healthcare organization registered as an ambulatory surgical in Castle Rock, Colorado and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through May 9, 2028 and lists Richard M Roman, President, Physician, as its authorized official.

NPPES Registry Identity

NPI1306353586
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSDG CASTLE ROCK ENDOSCOPY CENTER
Location Address3911 AMBROSIA ST # 200Castle Rock, CO 80109-3820
Mailing Address10 Inverness Dr E Ste 220Englewood, CO 80112-5612 · (303) 788-8888 · Fax (303) 768-8774
Phone(303) 788-8888
Fax(303) 788-6452
Organization SubpartYesParent: Sdg Holdings, Inc.
Authorized OfficialRichard M RomanPresident, Physician · (303) 788-8888
Enumeration DateJanuary 9, 2018
Last NPPES UpdateJanuary 24, 20182 updates tracked since enumeration
✔ NPI 1306353586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3911 AMBROSIA ST # 200, Castle Rock, CO 80109
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2148413

Sdg Castle Rock Endoscopy Center · Castle Rock, CO
Active · expires May 9, 2028
CLIA Number06D2148413
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 10, 2026
Certificate Expiration DateMay 9, 2028
Laboratory DirectorLisa K. Mathew
Laboratory Phone(303) 788-8888
Laboratory LocationSdg Castle Rock Endoscopy Center3911 Ambrosia St, Suite 20, Castle Rock, CO 80109
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
318 services313 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
213 services210 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
173 services163 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
38 services37 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
37 services37 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
17 services16 patients

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 Sdg Castle Rock Endoscopy Center's NPI number?

The NPI number for Sdg Castle Rock Endoscopy Center is 1306353586. It was assigned to this organization in the NPPES registry on January 9, 2018.

Where is Sdg Castle Rock Endoscopy Center located?

Sdg Castle Rock Endoscopy Center is located at 3911 Ambrosia St # 200, Castle Rock, CO 80109. The listed phone number is (303) 788-8888.

What is Sdg Castle Rock Endoscopy Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Sdg Castle Rock Endoscopy Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2148413) is associated with this NPI, valid through May 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sdg Castle Rock Endoscopy Center was last updated on January 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.