Center Pointe Family Medical Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CENTER POINTE FAMILY MEDICAL GROUP LLC

Practice address

1 Oakwood Park PLZ Ste 101
Castle Rock, CO 80104-1849

Phone

(719) 282-6100

NPI assigned

Mar 22, 2018

Organization subpart

No

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

Authorized official

Name

Baiju Abdulla, MDNPI 1316119076

Title

Medical Director

Phone

(719) 282-6100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Baiju Abdulla, M.B.B.S.

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1316119076
  Medicare reassignment NPD Authorized official
• Alan F Stage, MD

  • Pediatrics Physician
  • Castle Rock, CO
  • NPI 1821044975
  Medicare reassignment

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1154825230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 POWERS CENTER PT STE 230",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207148",
            "telephone_number": "719-282-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OAKWOOD PARK PLZ STE 101",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041849",
            "telephone_number": "719-282-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER POINTE FAMILY MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "ABDULLA",
        "authorized_official_first_name": "BAIJU",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "719-282-6100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailee Rae Cawthon
• Rozelle Cawthorn
• Anthony Joseph Cedrone, M.D.
• Center for Autism and Related Disorders
• Center for Plastic Surgery at Castle Rock, PC
• Anthony George Cerullo, PA-C
• April Chamberlin, PMHNP-BC
• Barbara Rae Chandler, MT-BC, NMT
• Virginia Soojin Chang
• Zoe Chang, PA-C

• Family Medicine Physician in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.