Active NPI
Radiation Oncology, P.C.
- Radiation Oncology Physician
- Colorado Springs, CO
National Provider Identifier
1184604266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- RADIATION ONCOLOGY, P.C.
- Practice address
- 2222 N Nevada Ave Ste CC-101
Colorado Springs, CO 80907-6819 - Phone
- (719) 776-5281
- Fax
- (719) 776-2525
- NPI assigned
- Jan 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anuj V Peddada, M.D.
- Title
- President
- Phone
- (719) 776-5281
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | CO | Primary |
Addresses
Primary practice location
2222 N Nevada Ave Ste CC-101
Colorado Springs, CO 80907-6819
Mailing address
PO Box 1899
Colorado Springs, CO 80901-1899
Phone (719) 570-7675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04008348 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
1425 N Union Blvd
Ste 202
Colorado Springs, CO 80909
Phone (719) 570-7675
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiation Oncology Physician
- Colorado Springs, CO
- NPI 1285614222
-
- Radiation Oncology Physician
- Colorado Springs, CO
- NPI 1083694137
-
- Radiation Oncology Physician
- Colorado Springs, CO
- NPI 1679501456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613433600000",
"number": "1184604266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1899",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809011899",
"telephone_number": "719-570-7675",
"fax_number": "719-471-9314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 N NEVADA AVE STE CC-101",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809076819",
"telephone_number": "719-776-5281",
"fax_number": "719-776-2525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIATION ONCOLOGY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-17",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A",
"authorized_official_last_name": "PEDDADA",
"authorized_official_first_name": "ANUJ",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "719-776-5281",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04008348",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.