Active NPI
Tim Carlsen, D.P.M.
- Primary Podiatric Medicine Podiatrist
- Colorado Springs, CO
National Provider Identifier
1033199070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 642
- Practice address
- 2620 Tenderfoot Hill St
Suite 10
Colorado Springs, CO 80906-3981 - Phone
- (719) 576-2080
- Fax
- (719) 576-2248
- NPI assigned
- Jan 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 642 | CO | Primary |
Addresses
Primary practice location
2620 Tenderfoot Hill St
Suite 10
Colorado Springs, CO 80906-3981
Mailing address
2620 Tenderfoot Hill St
Suite 10
Colorado Springs, CO 80906-3981
Phone (719) 576-2080
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12451576 | Medicaid | CO | |
| P00147284 | Other | CO | RRW MEDICARE |
| 841469291005 | Other | CO | RMHMO |
| 84146929104 | Other | CO | PACIFICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 642 | CO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cheyenne Foot & Ankle Inc | Primary Podiatric Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Podiatric Medicine Podiatrist
- Colorado Springs, CO
- NPI 1851371942
Primary Podiatric Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1033199070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 TENDERFOOT HILL ST",
"address_2": "SUITE 10",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809063981",
"telephone_number": "719-576-2080",
"fax_number": "719-576-2248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 TENDERFOOT HILL ST",
"address_2": "SUITE 10",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809063981",
"telephone_number": "719-576-2080",
"fax_number": "719-576-2248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSEN",
"first_name": "TIM",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "CO",
"license": "642",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12451576",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRW MEDICARE",
"identifier": "P00147284",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RMHMO",
"identifier": "841469291005",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "84146929104",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.