Individual provider Active NPI

Catherine Noelle O'Shea, DO

  • Gastroenterology Physician
  • Colorado Springs, CO
National Provider Identifier
1023212602
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
DR.0053021 Issued in CO
Practice address
8501 Jacks Fork Dr
Colorado Springs, CO 80924-8117
Phone
(850) 543-6496
NPI assigned
Jun 14, 2007
Last updated
Oct 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP1-0026274 TX
Gastroenterology Physician 207RG0100X DR.0053021 CO Primary
Gastroenterology Physician 207RG0100X DO1252 AL

Addresses

Primary practice location

8501 Jacks Fork Dr
Colorado Springs, CO 80924-8117

Mailing address

8501 Jacks Fork Dr
Colorado Springs, CO 80924-8117
Phone (850) 543-6496

Other identifiers 1

IdentifierTypeStateIssuer
3858306751OtherMYUTMB 3858306751-COMMERCIAL NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170901001560 CO Practitioner - Gastroenterology 4688838584 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Assoc in Gastroenterology, PCGroup PAC ID 7416925052, 26 clinicians

Practice addresses (Care Compare)

2940 N Circle Dr
Colorado Springs, CO 80909-1160
Phone (719) 635-7321

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.25 of 100Reported as group
Quality
93.43
Promoting interoperability
100
Improvement activities
40
Cost
74.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy111
Upper gastrointestinal (GI) endoscopy for acid reflux84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
BP1-0026274TXMDInternal Medicine Physician
DR.0053021COMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eccs Acquisition Company LLC CurrentSince Jan 1, 2020 Accepting new patients
Assoc in Gastroenterology, PC Gastroenterology CurrentSince Aug 28, 2017 Accepting new patients
Associates in Gastroenterology, P.C. CurrentSince Aug 28, 2017 Accepting new patients
Eccs Acquisition Company LLC CurrentSince Jan 1, 2020 Accepting new patients

Locations

2940 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 635-7321

6031 E Woodmen Rd
Ste 100
Colorado Springs, CO 80923
Phone (719) 635-7321

Networks

  • CO HMO
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO D-SNP

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1023212602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 JACKS FORK DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809248117",
            "telephone_number": "850-543-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 JACKS FORK DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809248117",
            "telephone_number": "850-543-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SHEA",
        "first_name": "CATHERINE",
        "middle_name": "NOELLE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP1-0026274",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "DR.0053021",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "DO1252",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 3858306751-COMMERCIAL NUMBER",
            "identifier": "3858306751",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.