WILLOW PARK ENDOSCOPY CENTER, LLC
NPI 1487399168
Clinic/Center - Ambulatory Surgical in Willow Park, TX

Q: What is Willow Park Endoscopy Center, LLC's NPI number?

The NPI number for Willow Park Endoscopy Center, LLC is 1487399168. It was assigned to this organization in the NPPES registry on April 28, 2022.

Q: What is Willow Park Endoscopy Center, LLC's specialty?

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

Active since April 28, 2022CLIA 45D2262858 · Waiver

130 JIMMA DRIVE, SUITE B, WILLOW PARK, TX 76087(817) 363-1410(817) 363-1411 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2023, Apr 28, 2022 (2 updates tracked since 2022).

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About Willow Park Endoscopy Center, Llc NPPES

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

WILLOW PARK ENDOSCOPY CENTER, LLC (NPI 1487399168) is a healthcare organization registered as an ambulatory surgical in Willow Park, Texas and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through June 19, 2028 and lists Kim West, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487399168

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameWILLOW PARK ENDOSCOPY CENTER, LLC

Location Address130 JIMMA DRIVE, SUITE BWillow Park, TX 76087

Mailing Address130 Jimma Drive, Suite BWillow Park, TX 76087 · (817) 363-1410 · Fax (817) 363-1411

Phone(817) 363-1410

Fax(817) 363-1411

Organization SubpartYesParent: Gi Alliance Surgery Center, Pllc

Authorized OfficialKim WestCeo · (817) 415-0343

Enumeration DateApril 28, 2022

Last NPPES UpdateDecember 15, 20232 updates tracked since enumeration

NPPES CertifiedDecember 2, 2022

✔ NPI 1487399168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

130 JIMMA DRIVE, Willow Park, TX 76087

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 45D2262858

Willow Park Endoscopy Center, LLC · Willow Park, TX

Active · expires Jun 19, 2028

CLIA Number45D2262858

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJune 20, 2026

Certificate Expiration DateJune 19, 2028

Laboratory DirectorSanjeeb Shrestha

Laboratory Phone(817) 893-2381

Laboratory LocationWillow Park Endoscopy Center, LLC130 Jimma Dr Suite B, Willow Park, TX 76087

CLIA data matches this NPI record on: Address Name

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.

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.

91 services84 patients

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.

70 services70 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.

55 services55 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.

29 services29 patients

Dilation of esophagus 43450

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

26 services25 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.

21 services21 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 Willow Park Endoscopy Center, LLC's NPI number?

The NPI number for Willow Park Endoscopy Center, LLC is 1487399168. It was assigned to this organization in the NPPES registry on April 28, 2022.

Where is Willow Park Endoscopy Center, LLC located?

Willow Park Endoscopy Center, LLC is located at 130 Jimma Drive Suite B, Willow Park, TX 76087. The listed phone number is (817) 363-1410.

What is Willow Park Endoscopy Center, LLC's specialty?

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

Does Willow Park Endoscopy Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2262858) is associated with this NPI, valid through June 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Willow Park Endoscopy Center, LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Willow Park Endoscopy Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Willow Park Endoscopy Center, LLC was last updated on December 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.