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HARVARD PARK SURGERY CENTER, LLC
NPI 1366559122
Clinic/Center - Ambulatory Surgical in Denver, CO

Active since August 25, 2006CLIA 06D1047897 · Waiver
1000 E. HARVARD AVE, DENVER, CO 80210(303) 778-5773(303) 765-3595 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 18, 2025, Oct 8, 2024, Nov 1, 2021 (3 updates tracked since 2021).

About Harvard Park Surgery Center, Llc NPPES

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

HARVARD PARK SURGERY CENTER, LLC (NPI 1366559122), doing business as Harvard Park Surgery Center, is a healthcare organization registered as an ambulatory surgical in Denver, Colorado and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through December 25, 2026 and lists Peter Blach, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1366559122
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameHARVARD PARK SURGERY CENTER, LLC
Location Address1000 E. HARVARD AVEDenver, CO 80210-5824
Mailing Address1000 E. Harvard AveDenver, CO 80210-5824 · (303) 778-5773 · Fax (303) 765-3595
Phone(303) 778-5773
Fax(303) 765-3595
Organization SubpartNo
Authorized OfficialPeter BlachOfficer/authorized Official · (314) 800-2017
Enumeration DateAugust 25, 2006
Last NPPES UpdateFebruary 18, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1366559122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in CO · 1157
1000 E. HARVARD AVE, Denver, CO 80210
Open in Google Maps ↗

Other Names 1

Doing Business AsHarvard Park Surgery Center

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Harvard Park Surgery Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateColoradoEnrollment IDO20061018000391Non-DME Part B · Ambulatory Surgical CenterDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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 06D1047897

Harvard Park Surgery Center · Denver, CO
Active · expires Dec 25, 2026
CLIA Number06D1047897
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 26, 2024
Certificate Expiration DateDecember 25, 2026
Laboratory DirectorJessica Haley
Laboratory Phone(303) 778-5773
Laboratory LocationHarvard Park Surgery Center1000 E Harvard Ave, Denver, CO 80210
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

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 cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
517 services331 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
119 services61 patients
Removal of nasal air passage under lining tissue 30140
This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.
30 services15 patients
Repair of brow paralysis 67900
Repair of brow paralysis is a procedure aimed to restore function and symmetry to the face. This is achieved by adjusting muscles and nerves in the brow area. It can help improve the appearance and movement of the forehead and eyebrows, enhancing overall facial expressions.
29 services15 patients
Extensive repair of turning-outward eyelid defect 67917
This procedure corrects an eyelid defect where the eyelid turns outward, exposing the eye. The extensive repair involves surgical techniques to reshape the eyelid and ensure it functions properly. This helps protect the eye and improve comfort.
29 services17 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
22 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 Harvard Park Surgery Center, LLC's NPI number?

The NPI number for Harvard Park Surgery Center, LLC is 1366559122. It was assigned to this organization in the NPPES registry on August 25, 2006. The provider is doing business as Harvard Park Surgery Center.

Where is Harvard Park Surgery Center, LLC located?

Harvard Park Surgery Center, LLC is located at 1000 E. Harvard Ave, Denver, CO 80210. The listed phone number is (303) 778-5773.

What is Harvard Park Surgery Center, LLC's specialty?

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

Is Harvard Park Surgery Center, LLC enrolled in Medicare?

Yes. Harvard Park Surgery Center, LLC is registered in the Medicare PECOS enrollment system.

When is Harvard Park Surgery Center, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Ambulatory Surgical Center) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Harvard Park Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D1047897) is associated with this NPI, valid through December 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Harvard Park Surgery Center, LLC was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.