NPIMap

Organization Active NPI

Telerecs, LLC

  • Sleep Medicine (Family Medicine) Physician
  • Colorado Springs, CO
National Provider Identifier
1013557693
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
Legal business name
TELERECS, LLC
Practice address
5040 Corporate Plaza Dr Ste 7
Colorado Springs, CO 80919-6100
Phone
(719) 301-6296
NPI assigned
Jan 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Piotr Krzyzanowski
Title
Manager
Phone
(719) 201-7815

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Sleep Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS1201X Primary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X

Addresses

Primary practice location

5040 Corporate Plaza Dr Ste 7
Colorado Springs, CO 80919-6100

Mailing address

5040 Corporate Plaza Dr Ste 7
Colorado Springs, CO 80919-6100
Phone (719) 301-6296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200313001565 CO Part B Supplier - Clinic/Group Practice 6608204219 Receives reassigned benefits from 5 practitioners
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

5040 Corporate Plaza Dr
Ste 4
Colorado Springs, CO 80919
Phone (719) 439-9297

5040 Corporate Plaza Dr
Ste 7
Colorado Springs, CO 80919
Phone (719) 301-6296

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1013557693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 CORPORATE PLAZA DR STE 7",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809196100",
            "telephone_number": "719-301-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 CORPORATE PLAZA DR STE 7",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809196100",
            "telephone_number": "719-301-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELERECS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "KRZYZANOWSKI",
        "authorized_official_first_name": "PIOTR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "719-201-7815"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.