NPIMap

Organization Active NPI

Summit Primary Care

  • Family Medicine Physician
  • Englewood, CO
National Provider Identifier
1356962849
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUMMIT PRIMARY CARE
Practice address
300 E Hampden Ave Ste 201
Englewood, CO 80113-2647
Phone
(303) 993-5651
Fax
(303) 552-5730
NPI assigned
May 6, 2020
Last updated
Jul 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Michelle Oneill
Title
Office Manager
Phone
(719) 300-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

300 E Hampden Ave Ste 201
Englewood, CO 80113-2647

Mailing address

75 Printers Pkwy Ste 200
Colorado Springs, CO 80910-3142
Phone (719) 300-1122

Other identifiers 1

IdentifierTypeStateIssuer
9000185357MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200804000433 CO Part B Supplier - Clinic/Group Practice 3577988864 Receives reassigned benefits from 12 practitioners
4 other NPIs on this enrollment
Practice locations: Colorado Springs, CO; Englewood, CO; La Junta, CO; Pueblo, CO

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory

Locations

1120 Minnequa Ave
Pueblo, CO 81004
Phone (719) 281-3285

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1356962849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PRINTERS PKWY STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103142",
            "telephone_number": "719-300-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E HAMPDEN AVE STE 201",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132647",
            "telephone_number": "303-993-5651",
            "fax_number": "303-552-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "ONEILL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "719-300-1122"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000185357",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.