Northstar Neurology of Colorado Springs PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NORTHSTAR NEUROLOGY OF COLORADO SPRINGS PC

Practice address

3920 N Union Blvd Ste 150
Colorado Springs, CO 80907-1907

Phone

(719) 694-3595

Fax

(719) 493-9936

NPI assigned

Jun 11, 2020

Organization subpart

No

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

Authorized official

Name

Aparna Komatineni, MDNPI 1992826424

Title

MD

Phone

(719) 694-3595

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Aparna Komatineni, M.D

  • Neurology Physician
  • Colorado Springs, CO
  • NPI 1992826424
  Medicare reassignment Care Compare group NPD Authorized official
• Sara Hunsicker, PA

  • Physician Assistant
  • Colorado Springs, CO
  • NPI 1245853183
  Medicare reassignment Care Compare group
• Gerardo Neri, FNP

  • Family Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1255686234
  Medicare reassignment NPD
• Mary Avila, NP

  • Family Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1013720853
  Care Compare group NPD (past)
• Dongkwan Jin, MD

  • Neurology Physician
  • Colorado Springs, CO
  • NPI 1508310111
  NPD (past)

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1194340414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38670",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809378670",
            "telephone_number": "719-694-3595",
            "fax_number": "719-493-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 N UNION BLVD STE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809071907",
            "telephone_number": "719-694-3595",
            "fax_number": "719-493-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR NEUROLOGY OF COLORADO SPRINGS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "KOMATINENI",
        "authorized_official_first_name": "APARNA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "719-694-3595",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northland Hearing Centers, Inc. (Hearite)
• Northland Hearing Centers, Inc. (Pikes Peak Hearing Aid Services)
• Myra Northrup, MS, LPC
• Northside Associates, PC
• Northstar Achievements, LLC
• Northstar Physical Therapy, PC
• Joshua Scott Northway, DPT
• Northwest Internal Medicine
• Northwest Respiratory Services, LLC
• Kaitlynn Michelle Norton-Fischer

• Neurology Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Neurology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.