NPIMap

Individual provider Active NPI

Nicholas Vincent Costrini, M.D., PH.D

  • Gastroenterology Physician
  • Colorado Springs, CO
National Provider Identifier
1063444636
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
DR.0065461 Issued in CO
Practice address
2920 N Cascade Ave Ste 330
Colorado Springs, CO 80907-6262
Phone
(719) 636-1201
Fax
(719) 636-1326
NPI assigned
Jul 6, 2006
Last updated
Aug 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X DR.0065461 CO Primary

Addresses

Primary practice location

2920 N Cascade Ave Ste 330
Colorado Springs, CO 80907-6262

Mailing address

2920 N Cascade Ave Ste 330
Colorado Springs, CO 80907-6262

Other practice location 1

9101 Kimmer Dr Ste 1100
Lone Tree, CO 80124-8454
Phone (719) 636-1201

Other practice location 2

1370 Interquest Pkwy
Colorado Springs, CO 80921-4337
Phone (719) 636-1201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190321001179 FL Practitioner - Gastroenterology 2466627302
I20230914004081 CO Practitioner - Internal MedicinePractitioner - Gastroenterology 2466627302 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Medical College of Wisconsin, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Gastroenterology AssociatesGroup PAC ID 2961484365, 32 clinicians
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

2920 N Cascade Ave
Colorado Springs, CO 80907-6262
Phone (719) 636-1201

4050 Briargate Pkwy
Colorado Springs, CO 80920-7815

4080 Briargate Pkwy
Colorado Springs, CO 80920-7815
Phone (719) 365-6800

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.72 of 100Reported as apm
Quality
84.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy116
Upper gastrointestinal (GI) endoscopy for acid reflux159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Gastroenterology Associates Gastroenterology CurrentSince Aug 28, 2023 Accepting new patients
Poudre Valley Medical Group, LLC Specialist Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Nov 1, 2024 Accepting new patients
Peak Gastroenterology Associates Gastroenterology CurrentSince Sep 5, 2023 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Jax Anesthesia Providers LLC PastSince Jun 12, 2006 Accepting new patients
Georgia Center for Digestive Diseases, LLC PastSince Oct 27, 1999 Accepting new patients
Poudre Valley Medical Group, LLC Gastroenterology PastSince Oct 6, 2024 Accepting new patients
Surgical Center of Peak Endoscopy, LLC Past Accepting new patients

Locations

1400 E Boulder St
Ste 1722
Colorado Springs, CO 80909
Phone (719) 364-3640

2920 N Cascade Ave
#P
Colorado Springs, CO 80907

2920 N Cascade Ave
Fl 1
Colorado Springs, CO 80907
Phone (719) 362-2300

2920 N Cascade Ave
Ste 300
Colorado Springs, CO 80907

2920 N Cascade Ave
Ste 330
Colorado Springs, CO 80907

4050 Briargate Pkwy
Ste A2115
Colorado Springs, CO 80920
Phone (719) 365-5543

9101 Kimmer Dr
Ste 1100
Lone Tree, CO 80124
Phone (303) 424-2535

Organizations & group practices 9

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1063444636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE STE 330",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE STE 330",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076262",
            "telephone_number": "719-636-1201",
            "fax_number": "719-636-1326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9101 Kimmer Dr Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801248454",
            "country_code": "US",
            "telephone_number": "719-636-1201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1370 Interquest Pkwy",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809214337",
            "country_code": "US",
            "telephone_number": "719-636-1201",
            "fax_number": "719-636-1326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTRINI",
        "first_name": "NICHOLAS",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "DR.0065461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.