Individual provider Active NPI

Michelle D Dewing, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Colorado Springs, CO
National Provider Identifier
1306933775
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
DR.0051902 Issued in CO
Practice address
4110 Briargate Pkwy
Ste 465
Colorado Springs, CO 80920-7835
Phone
(719) 477-0211
Fax
(719) 477-0501
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X DR.0051902 CO Primary
Surgery Physician 208600000X DR.0051902 CO

Addresses

Primary practice location

4110 Briargate Pkwy
Ste 465
Colorado Springs, CO 80920-7835

Mailing address

4110 Briargate Pkwy
Suite 465
Colorado Springs, CO 80920-7835
Phone (719) 365-9950

Other identifiers 1

IdentifierTypeStateIssuer
57528501MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130722000178 CO Practitioner - Thoracic SurgeryPractitioner - General Surgery 4688622764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: General Surgery
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

4050 Briargate Pkwy
Colorado Springs, CO 80920-7815

4080 Briargate Pkwy
Colorado Springs, CO 80920-7815
Phone (719) 365-6800

4110 Briargate Pkwy
Suite 445
Colorado Springs, CO 80920-7839
Phone (719) 364-8840

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

Hospital & facility affiliations

  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022
  • Uchealth Pikes Peak Regional Hospital Hospital, Woodland Park, CO, CCN 061326

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy43
Melanoma (skin cancer) excision12
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0051902COMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC Surgery Current Accepting new patients
Poudre Valley Medical Group, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Mar 16, 2013 Accepting new patients
Providence Health & Services - Oregon Past Accepting new patients
Providence Health & Services Oregon Past Accepting new patients
Centennial Medical Group Inc. Surgery Past Accepting new patients

Locations

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

4110 Briargate Pkwy
Ste 465
Colorado Springs, CO 80920
Phone (719) 471-3930

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

4110 Briargate Pkwy
Ste 445
Colorado Springs, CO 80920
Phone (719) 364-8840

3843 Rio Vista Dr
Ste 2600
Colorado Springs, CO 80917
Phone (719) 477-0211

403 Kendall Dr
Lamar, CO 81052
Phone (719) 336-6767

301 Kendall Dr
Lamar, CO 81052
Phone (719) 336-3179

16222 W US Highway 24
Ste 220
Woodland Park, CO 80863
Phone (719) 365-7300

16222 W US Highway 24
Ste 210
Woodland Park, CO 80863
Phone (719) 686-2832

Organizations & group practices 5

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1306933775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 BRIARGATE PKWY",
            "address_2": "SUITE 465",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207835",
            "telephone_number": "719-365-9950",
            "fax_number": "719-365-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 BRIARGATE PKWY",
            "address_2": "STE 465",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207835",
            "telephone_number": "719-477-0211",
            "fax_number": "719-477-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWING",
        "first_name": "MICHELLE",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CO",
            "license": "DR.0051902",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0051902",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57528501",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.