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PARK MEADOWS OUTPATIENT SURGERY, LLC
NPI 1669548368
Clinic/Center - Ambulatory Surgical in Lone Tree, CO

Active since November 27, 2006CLIA 06D1079282 · Waiver
7430 PARK MEADOWS DR, SUITE 300, LONE TREE, CO 80124(303) 706-1100(303) 790-7322 Get Directions Write a Review

NPPES record last updated: April 18, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Park Meadows Outpatient Surgery, Llc NPPES

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

PARK MEADOWS OUTPATIENT SURGERY, LLC (NPI 1669548368) is a healthcare organization registered as an ambulatory surgical in Lone Tree, Colorado and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through January 28, 2028 and lists Anne J Bonn, Administrator, as its authorized official.

NPPES Registry Identity

NPI1669548368
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePARK MEADOWS OUTPATIENT SURGERY, LLC
Location Address7430 PARK MEADOWS DR, SUITE 300Lone Tree, CO 80124-2559
Mailing Address7430 Park Meadows Dr, Suite 300Lone Tree, CO 80124-2559 · (303) 706-1100 · Fax (303) 790-7322
Phone(303) 706-1100
Fax(303) 790-7322
Organization SubpartNo
Authorized OfficialAnne J BonnAdministrator · (303) 706-1100
Enumeration DateNovember 27, 2006
Last NPPES UpdateApril 18, 2019
✔ NPI 1669548368 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 · 0272
7430 PARK MEADOWS DR, Lone Tree, CO 80124
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Park Meadows Outpatient Surgery, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeremy Williams, MD
Plastic and Reconstructive Surgery
NPI 1518035575
7430 PARK MEADOWS DR SUITE 300
Lone Tree, CO 80124
(303) 706-1100
✔ PECOSSame address

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

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 06D1079282

Park Meadows Outpatient Surgery, LLC · Lone Tree, CO
Active · expires Jan 28, 2028
CLIA Number06D1079282
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorKrista L. Taylor
Laboratory Phone(303) 706-1100
Laboratory LocationPark Meadows Outpatient Surgery, LLC7430 E Park Meadows Drive Suite 300 C/O Anne Bonn, Administrator, Lone Tree, CO 80124
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Park Meadows Outpatient Surgery, LLC's NPI number?

The NPI number for Park Meadows Outpatient Surgery, LLC is 1669548368. It was assigned to this organization in the NPPES registry on November 27, 2006.

Where is Park Meadows Outpatient Surgery, LLC located?

Park Meadows Outpatient Surgery, LLC is located at 7430 Park Meadows Dr Suite 300, Lone Tree, CO 80124. The listed phone number is (303) 706-1100.

What is Park Meadows Outpatient Surgery, LLC's specialty?

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

Is Park Meadows Outpatient Surgery, LLC enrolled in Medicare?

Yes. Park Meadows Outpatient Surgery, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Park Meadows Outpatient Surgery, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Park Meadows Outpatient Surgery, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Park Meadows Outpatient Surgery, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D1079282) is associated with this NPI, valid through January 28, 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 Park Meadows Outpatient Surgery, LLC was last updated on April 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.