Tracy Ann Paeschke, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

CDHR.0041162 Issued in CO

Practice address

1633 Medical Center Point
Colorado Springs, CO 80907

Phone

(719) 203-2603

Fax

(279) 201-6476

NPI assigned

Oct 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Schryver Medical Sales and Marketing Inc.

  • Mobile Radiology Clinic/Center
  • Denver, CO
  • NPI 1295849537
  NPD (past)
• New Schryver LLC

  • Clinical Medical Laboratory
  • Carrollton, TX
  • NPI 1689025116
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1114003399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15954 JACKSON CREEK PKWY STE B",
            "address_2": "#435",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328532",
            "telephone_number": "719-203-2603",
            "fax_number": "279-201-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 MEDICAL CENTER POINT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80907",
            "telephone_number": "719-203-2603",
            "fax_number": "279-201-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAESCHKE",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "CDHR.0041162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11827238",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth Padilla
• Safyr Padilla, LPC
• Amy Padron, MA, LPC, NCC
• Abdiel Padua
• Jessica Nicole Padula, LCSW
• Lois Paff Bergen, LOIS PAFF BERGEN PHD
• Gianna Pagan
• Sharon Marie Pagdilao, NP
• Charles K Page, RPH
• Joshua Page

• Cardiovascular Disease Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Cardiovascular Disease Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.