Active NPI
Northwest Internal Medicine
- Internal Medicine Physician
- Colorado Springs, CO
National Provider Identifier
1023053873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 36478
- Legal business name
- NORTHWEST INTERNAL MEDICINE
- Practice address
- 5390 N Academy Blvd
#300
Colorado Springs, CO 80918-4062 - Phone
- (719) 884-1210
- NPI assigned
- Jun 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alexander Senkoff, MD
- Title
- President
- Phone
- (719) 884-1210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 36478 | CO | Primary |
Addresses
Primary practice location
5390 N Academy Blvd
#300
Colorado Springs, CO 80918-4062
Mailing address
PO Box 49264
Colorado Springs, CO 80949-9264
Phone (719) 884-1210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 98539230 | Medicaid | CO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1023053873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 49264",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809499264",
"telephone_number": "719-884-1210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5390 N ACADEMY BLVD",
"address_2": "#300",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809184062",
"telephone_number": "719-884-1210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST INTERNAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SENKOFF",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "719-884-1210",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CO",
"license": "36478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "98539230",
"state": "CO"
}
],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.