PARK AVENUE SURGERY CENTER LLC
NPI 1689748758
Clinic/Center - Ambulatory Surgical in Denver, CO

Q: What is Park Avenue Surgery Center LLC's NPI number?

The NPI number for Park Avenue Surgery Center LLC is 1689748758. It was assigned to this organization in the NPPES registry on November 20, 2006.

Q: What is Park Avenue Surgery Center LLC's specialty?

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

Active since November 20, 2006

1800 EMERSON ST, STE 200, DENVER, CO 80218(303) 468-8844(303) 468-8850 Get Directions Write a Review

NPPES record last updated: June 20, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Park Avenue Surgery Center Llc NPPES

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

PARK AVENUE SURGERY CENTER LLC (NPI 1689748758) is a healthcare organization registered as an ambulatory surgical in Denver, Colorado and active in the NPI registry since November 2006. The organization lists Jerry K Popham, President, as its authorized official.

NPPES Registry Identity

NPI1689748758

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NamePARK AVENUE SURGERY CENTER LLC

Location Address1800 EMERSON ST, STE 200Denver, CO 80218

Mailing Address1800 Emerson St, Ste 200Denver, CO 80218 · (303) 468-8844 · Fax (303) 468-8850

Phone(303) 468-8844

Fax(303) 468-8850

Organization SubpartNo

Authorized OfficialJerry K PophamPresident · (303) 468-8844

Enumeration DateNovember 20, 2006

Last NPPES UpdateJune 20, 2008

✔ NPI 1689748758 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 · 0769

1800 EMERSON ST, Denver, CO 80218

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Other Identifiers 2

Medicare ID-Type UnspecifiedC800740

Medicaid88530221CO

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Park Avenue Surgery Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jerry Popham, M.D.

Ophthalmology

NPI 1588661920

1800 EMERSON ST #200
Denver, CO 80218

(303) 468-8844

✔ PECOS✔ Accepts MedicareSame address

Christopher Thiagarajah, MD

Ophthalmology

NPI 1952435919

1140 EDWARDS VILLAGE BLVD UNIT B206
Edwards, CO 81632

(720) 509-9889

✔ PECOS✔ Accepts Medicare87 mi

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

Areas of Expertise CMS Part B claims 4

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.

Shortening or advancement of upper eyelid muscle to correct drooping or paralysis 67903

This procedure involves adjusting the muscle in your upper eyelid to correct drooping or paralysis. The muscle may be shortened or advanced to help lift the eyelid to a better position. This can improve vision and give a more alert appearance. It's typically an outpatient procedure.

126 services74 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.

118 services62 patients

Reconstruction of eyelid margin 67950

Reconstruction of the eyelid margin is a surgical procedure to repair defects or abnormalities in the eyelid. It helps to protect the eye, improve vision, and enhance appearance. The surgery involves reshaping the eyelid using tissue grafts or flaps.

25 services19 patients

Extensive repair of turning-inward eyelid defect 67924

This procedure helps correct an eyelid defect where the eyelid turns inward, causing discomfort or vision issues. A surgeon makes precise adjustments to the eyelid's structure, alleviating the inward turn and improving eye health and comfort.

20 services14 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 Park Avenue Surgery Center LLC's NPI number?

The NPI number for Park Avenue Surgery Center LLC is 1689748758. It was assigned to this organization in the NPPES registry on November 20, 2006.

Where is Park Avenue Surgery Center LLC located?

Park Avenue Surgery Center LLC is located at 1800 Emerson St Ste 200, Denver, CO 80218. The listed phone number is (303) 468-8844.

What is Park Avenue Surgery Center LLC's specialty?

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

Is Park Avenue Surgery Center LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Park Avenue Surgery Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Ophthalmology, reassign their Medicare billing to Park Avenue Surgery Center 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. Of these, 1 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 Park Avenue Surgery Center LLC was last updated on June 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.