NPIMap

Individual provider Active NPI

Bryan C Kavanaugh, MD

  • Gastroenterology Physician
  • Colorado Springs, CO
National Provider Identifier
1346452273
Registry record updated Jul 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
DR0048818 Issued in CO
Practice address
2940 N Circle Dr
Colorado Springs, CO 80909-1160
Phone
(719) 635-7321
Fax
(719) 635-2510
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X DR0048818 CO Primary

Addresses

Primary practice location

2940 N Circle Dr
Colorado Springs, CO 80909-1160

Mailing address

2940 N Circle Dr
Colorado Springs, CO 80909-1160
Phone (719) 635-7321

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101109000205 CO Practitioner - Gastroenterology 1456408202 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Georgetown University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Assoc in Gastroenterology, PCGroup PAC ID 7416925052, 26 clinicians

Practice addresses (Care Compare)

2940 N Circle Dr
Colorado Springs, CO 80909-1160
Phone (719) 635-7321

6031 E Woodmen Rd
Suite 100
Colorado Springs, CO 80923-2624
Phone (719) 635-7321

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.69 of 100Reported as group
Quality
71.4
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.25 of 100Reported as group
Quality
93.43
Promoting interoperability
100
Improvement activities
40
Cost
74.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy134
Upper gastrointestinal (GI) endoscopy for acid reflux224

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR0048818COMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salida Hospital District CurrentSince Jun 1, 2021 Accepting new patients
Associates in Gastroenterology, P.C. CurrentSince Aug 1, 2010 Accepting new patients
Salida Hospital District CurrentSince Jun 1, 2021 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Sep 14, 2016 Accepting new patients
Salida Hospital District Current Accepting new patients
Eccs Acquisition Company LLC CurrentSince Jan 1, 2020 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Sep 14, 2016 Accepting new patients
Assoc in Gastroenterology, PC Gastroenterology CurrentSince Aug 1, 2010 Accepting new patients
Eccs Acquisition Company LLC CurrentSince Jan 1, 2020 Accepting new patients

Locations

6031 E Woodmen Rd
Ste 100
Colorado Springs, CO 80923
Phone (719) 635-7321

2940 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 635-7321

1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148

1000 Rush Dr
Salida, CO 81201
Phone (719) 530-2477

Organizations & group practices 9

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

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501027200000",
    "number": "1346452273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 N CIRCLE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091160",
            "telephone_number": "719-635-7321",
            "fax_number": "719-635-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 N CIRCLE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091160",
            "telephone_number": "719-635-7321",
            "fax_number": "719-635-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAUGH",
        "first_name": "BRYAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2017-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "DR0048818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.