Organization Active NPI

The Urology Center of Colorado PC

  • Urology Physician
  • Colorado Springs, CO
National Provider Identifier
1295495653
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
THE UROLOGY CENTER OF COLORADO PC
Practice address
2222 N Nevada Ave Ste 2025
Colorado Springs, CO 80907-6819
Phone
(719) 882-8822
Fax
(719) 387-5775
NPI assigned
Dec 28, 2021
Organization subpart
Yes
Parent organization
THE UROLOGY CENTER OF COLORADO PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Authorized official

Name
Kelsie Marie Jas
Title
Director of Revenue Cycle
Phone
(303) 762-7152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

2222 N Nevada Ave Ste 2025
Colorado Springs, CO 80907-6819

Mailing address

2777 Mile High Stadium Cir
Denver, CO 80211-5222
Phone (303) 825-8822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040301000224 CO Part B Supplier - Clinic/Group Practice 2466349022 Receives reassigned benefits from 27 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Denver, CO; Lone Tree, CO; Colorado Springs, CO

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
The Urology Center of Co PC

Locations

2222 N Nevada Ave
Ste 2025
Colorado Springs, CO 80907
Phone (719) 776-6222

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1295495653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 MILE HIGH STADIUM CIR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802115222",
            "telephone_number": "303-825-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N NEVADA AVE STE 2025",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076819",
            "telephone_number": "719-882-8822",
            "fax_number": "719-387-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE UROLOGY CENTER OF COLORADO PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE UROLOGY CENTER OF COLORADO PC",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "JAS",
        "authorized_official_first_name": "KELSIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "303-762-7152"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 28, 2021; 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.