NPIMap

Organization Active NPI

Institute of Plastic Surgery, P.C.

  • Plastic Surgery Physician
  • Colorado Springs, CO
National Provider Identifier
1184754731
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
42150 Issued in CO
Legal business name
INSTITUTE OF PLASTIC SURGERY, P.C.
Practice address
7606 N Union Blvd
Ste a
Colorado Springs, CO 80920-3850
Phone
(719) 535-9990
Fax
(719) 535-9980
NPI assigned
Mar 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rupesh Jain, M.D.NPI 1598850810
Title
Presedent
Phone
(719) 535-9990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 42150 CO Primary

Addresses

Primary practice location

7606 N Union Blvd
Ste a
Colorado Springs, CO 80920-3850

Mailing address

7606 N Union Blvd
Ste a
Colorado Springs, CO 80920-3850
Phone (719) 535-9990

Other identifiers 2

IdentifierTypeStateIssuer
1710073424MedicaidCO
1598850810MedicaidCO

National Provider Directory

National Provider Directory

Locations

2438 Research Pkwy
Ste 100
Colorado Springs, CO 80920
Phone (719) 535-9990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184754731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7606 N UNION BLVD",
            "address_2": "STE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203850",
            "telephone_number": "719-535-9990",
            "fax_number": "719-535-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7606 N UNION BLVD",
            "address_2": "STE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203850",
            "telephone_number": "719-535-9990",
            "fax_number": "719-535-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE OF PLASTIC SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "RUPESH",
        "authorized_official_title_or_position": "PRESEDENT",
        "authorized_official_telephone_number": "719-535-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CO",
            "license": "42150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710073424",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598850810",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.