NPIMap

Individual provider Active NPI

Matthew Edward Misja, MD

  • Emergency Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1154337343
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DR.0047016 Issued in CO
Practice address
1400 E Boulder St
Colorado Springs, CO 80909-5533
Phone
(719) 365-5500
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DR.0047016 CO Primary

Addresses

Primary practice location

1400 E Boulder St
Colorado Springs, CO 80909-5533

Mailing address

PO Box 173891
Denver, CO 80217-3891
Phone (877) 346-2211

Other practice location 1

9505 Ralston Rd.
Arvada, CO 80002
Phone (720) 848-0000

Other identifiers 1

IdentifierTypeStateIssuer
89724518MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090129000110 CO Practitioner - Emergency MedicinePractitioner - Undersea and Hyperbaric Medicine 2062469372 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Undersea and Hyperbaric Medicine
Education
Wright State University Boonshoft School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1400 E Boulder St
Colorado Springs, CO 80909-5533

4050 Briargate Pkwy
Colorado Springs, CO 80920-7815
Phone (719) 364-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians Incorporated Emergency Medicine Current Accepting new patients
University Physicians Incorporated CurrentSince Feb 1, 2024 Accepting new patients
University Physicians, Incorporated CurrentSince Feb 1, 2024 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Nov 1, 2016 Accepting new patients
Emergency Medical Specialists, PC Emergency Medicine CurrentSince Jan 1, 2009 Accepting new patients
Emergency Medical Specialists, PC Emergency Medicine CurrentSince Jan 1, 2009 Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Uch-MHS CurrentSince Oct 1, 2012 Accepting new patients
Emergency Medicine Physicians of Brooke County, PLLC Emergency Medicine Past Accepting new patients
Uch-MHS Past Accepting new patients

Locations

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

875 W 136th Ave
Broomfield, CO 80023
Phone (303) 457-7700

11820 Destination Dr
Broomfield, CO 80021
Phone (303) 460-6000

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

1400 E Boulder St
Unit 1120
Colorado Springs, CO 80909
Phone (719) 365-5920

5623 Pulpit Peak Vw
Colorado Springs, CO 80918
Phone (719) 272-3600

4050 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 364-5000

175 S Union Blvd
Ste 305
Colorado Springs, CO 80910
Phone (719) 365-6881

13510 Meadowgrass Dr
Colorado Springs, CO 80921
Phone (719) 364-7010

3790 E Woodmen Rd
Colorado Springs, CO 80920
Phone (719) 264-5080

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

2770 N Powers Blvd
Colorado Springs, CO 80922
Phone (719) 638-3000

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

175 S Union Blvd
Colorado Springs, CO 80910
Phone (719) 305-8000

Dept 1061
Denver, CO 80256

7890 Fountain Mesa Rd
Fountain, CO 80817
Phone (719) 390-2680

1500 Park Central Dr
Littleton, CO 80129
Phone (720) 516-1000

16420 W US Highway 24
Woodland Park, CO 80863
Phone (719) 632-5020

Organizations & group practices 10

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1154337343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173891",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802173891",
            "telephone_number": "877-346-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E BOULDER ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095533",
            "telephone_number": "719-365-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9505 Ralston Rd.",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "80002",
            "country_code": "US",
            "telephone_number": "720-848-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISJA",
        "first_name": "MATTHEW",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0047016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89724518",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.