Individual provider Active NPI

Deborah Jalowiec, M.D.

  • Cardiovascular Disease Physician
  • Colorado Springs, CO
National Provider Identifier
1205823366
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
29771 Issued in CO
Practice address
2222 N Nevada Ave
Suite 4007
Colorado Springs, CO 80907-6831
Phone
(719) 776-8500
Fax
(719) 634-1448
NPI assigned
Oct 4, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 29771 CO Primary

Addresses

Primary practice location

2222 N Nevada Ave
Suite 4007
Colorado Springs, CO 80907-6831

Mailing address

2222 N Nevada Ave
Suite 4007
Colorado Springs, CO 80907-6831
Phone (719) 776-8500

Other practice location 1

2 W 42nd St Ste 2200
Scottsbluff, NE 69361-4669
Phone (308) 630-2626

Other identifiers 1

IdentifierTypeStateIssuer
01297712MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080206000519 CO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7416993761 Reassigns benefits to 2 organizations
I20130514000678 NE Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7416993761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Rush Medical College of Rush University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, shared by 2 NPIs, 2,425 clinicians

Practice addresses (Care Compare)

1100 Central Park Dr
Suite 1050
Steamboat Springs, CO 80487-8818
Phone (970) 870-1035

3911 Ave B
Scottsbluff, NE 69361-4617
Phone (970) 482-3328

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29771COMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Nov 16, 2019 Accepting new patients
CS Cardiology Newco LLC Cardiovascular Disease CurrentSince Oct 15, 2023 Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients
CS Cardiology Newco LLC Cardiovascular Disease CurrentSince Oct 15, 2023 Accepting new patients
CS Cardiology Newco LLC Cardiovascular Disease Current Accepting new patients
Regional West Physicians Clinic Past Accepting new patients
Regional West Physicians Clinic Internal Medicine Past Accepting new patients

Locations

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

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

2222 N Nevada Ave
Ste 4007
Colorado Springs, CO 80907
Phone (719) 634-6671

1625 Medical Center Pt
Ste 210
Colorado Springs, CO 80907
Phone (708) 289-4757

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

940 Central Park Dr
Ste 202
Steamboat Springs, CO 80487
Phone (970) 870-1035

1100 Central Park Dr
Ste 1050
Steamboat Springs, CO 80487
Phone (970) 870-1035

2 W 42nd St
Ste 2200
Scottsbluff, NE 69361
Phone (308) 630-2626

3911 Avenue B
Ste 1100
Scottsbluff, NE 69361
Phone (308) 630-1355

3911 Avenue B
Scottsbluff, NE 69361
Phone (308) 630-2100

3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1205823366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 N NEVADA AVE",
            "address_2": "SUITE 4007",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076831",
            "telephone_number": "719-776-8500",
            "fax_number": "719-634-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N NEVADA AVE",
            "address_2": "SUITE 4007",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076831",
            "telephone_number": "719-776-8500",
            "fax_number": "719-634-1448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 W 42nd St Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Scottsbluff",
            "state": "NE",
            "postal_code": "693614669",
            "country_code": "US",
            "telephone_number": "308-630-2626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JALOWIEC",
        "first_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "29771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01297712",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.