Organization Active NPI

James F. Reppert, M.D.

  • Internal Medicine Physician
  • Canon City, CO
National Provider Identifier
1093739757
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22797 Issued in CO
Legal business name
JAMES F. REPPERT, M.D.
Practice address
1335 Phay Ave Ste a
Canon City, CO 81212-2349
Phone
(719) 275-4151
Fax
(719) 275-3743
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Dr. James Fred Reppert, M.D.NPI 1285632893
Title
Sole Proprietorship
Phone
(719) 275-4151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 22797 CO Primary

Addresses

Primary practice location

1335 Phay Ave Ste a
Canon City, CO 81212-2349

Mailing address

1335 Phay Ave Ste a
Canon City, CO 81212-2349
Phone (719) 275-4151

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040312001029 CO Part B Supplier - Clinic/Group Practice 8921997362 Receives reassigned benefits from 2 practitioners
Practice locations: Canon City, CO

National Provider Directory

National Provider Directory

Locations

1335 Phay Ave
Canon City, CO 81212
Phone (719) 269-1727

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20285/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1093739757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 PHAY AVE STE A",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122349",
            "telephone_number": "719-275-4151",
            "fax_number": "719-275-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 PHAY AVE STE A",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122349",
            "telephone_number": "719-275-4151",
            "fax_number": "719-275-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES F. REPPERT, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "REPPERT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FRED",
        "authorized_official_title_or_position": "SOLE PROPRIETORSHIP",
        "authorized_official_telephone_number": "719-275-4151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "22797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.