NPIMap

Katie Sue Payne, MD

Individual provider Active NPI Internal Medicine Physician · Alamosa, CO

NPI 1124581418 · NPPES record last updated Jul 26, 2024

Key facts

NPI
1124581418
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
DR.0069012 (CO)
Practice address
128 Market St
Alamosa, CO 81101-2290
Phone
(719) 587-1060
Fax
(719) 587-1525
NPI assigned
Apr 12, 2019
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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

Medicare Care Compare profile

Specialty
Internal Medicine
Education
University of Missouri, Kansas City, School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives Colorado (1,230 clinicians)

Practice addresses (Care Compare)

1338 Phay Ave
Canon City, CO 81212-2311
Phone (719) 776-8500

Hospital & facility affiliations

  • Enhabit Home Health Home health agency · Colorado Springs, CO · CCN 067449
  • Sangre de Cristo Community Care LLC Home health agency · La Junta, CO · CCN 067280
  • Adoration Home Health Home health agency · Pueblo, CO · CCN 067528
  • St Thomas More Hospital Hospital · Canon City, CO · CCN 061344
  • St Mary-Corwin Hospital Hospital · Pueblo, CO · CCN 060012

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220721002456 CO Practitioner - Internal Medicine 8325380728 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado Current
since Sep 1, 2024		 Accepting new patients
Catholic Health Initiatives Colorado Current
since Sep 1, 2024		 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DR.0069012 CO Yes

Addresses

Primary practice location

128 Market St
Alamosa, CO 81101-2290

Mailing address

128 Market St
Alamosa, CO 81101-2290
Phone (719) 587-1060

Other practice location 1

1338 Phay Ave Bldg D
Canon City, CO 81212-2326
Phone (719) 285-2700

Other identifiers

IdentifierTypeStateIssuer
69012OtherCOLICENSE NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 26, 2024.

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1124581418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MARKET ST",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012290",
            "telephone_number": "719-587-1060",
            "fax_number": "719-587-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MARKET ST",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012290",
            "telephone_number": "719-587-1060",
            "fax_number": "719-587-1525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1338 Phay Ave Bldg D",
            "address_purpose": "LOCATION",
            "city": "Canon City",
            "state": "CO",
            "postal_code": "812122326",
            "country_code": "US",
            "telephone_number": "719-285-2700",
            "fax_number": "719-285-2975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "KATIE",
        "middle_name": "SUE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0069012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "69012",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamosa, CO

All providers in Alamosa, CO · Internal Medicine Physician in Colorado

Sources for this page

Verify at the official NPI Registry.