Individual provider Active NPI

Michael Salvatore Dugo, MD

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1366439770
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR0050392 Issued in CO
Practice address
6915 Tutt Blvd Street
Suite 110B
Colorado Springs, CO 80923-3591
Phone
(719) 445-1292
Fax
(719) 591-6486
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J8233 TX
Family Medicine Physician 207Q00000X DR0050392 CO Primary

Addresses

Primary practice location

6915 Tutt Blvd Street
Suite 110B
Colorado Springs, CO 80923-3591

Mailing address

1065 NE 125TH Street
Suite 300
North Miami, FL 33161-5833
Phone (888) 852-6672

Other practice location 1

9218 Kimmer Drive
Suite 200
Lone Tree, CO 80124-6733
Phone (303) 683-5620

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
I20141211000583 CO Practitioner - Family Practice 6204838725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Compass Colorado Healthcare Systems IncGroup PAC ID 8527140912, 7 clinicians

Practice addresses (Care Compare)

6915 Tutt Blvd
Suite 110B
Colorado Springs, CO 80923-3591
Phone (719) 445-1292

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR0050392COMDFamily Medicine Physician
J8233TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Colorado Healthcare Systems, Inc Family Medicine CurrentSince Aug 31, 2014 Accepting new patients
Compass Colorado Healthcare Systems, Inc. Family Medicine CurrentSince Aug 31, 2014 Accepting new patients
Banyan Castle Rock, LLC Past Accepting new patients
Compass Health Systems of Tennessee Family Medicine Past Accepting new patients

Locations

1055 S Perry St
Castle Rock, CO 80104
Phone (303) 381-8340

7353 Sisters Grv
Colorado Springs, CO 80923
Phone (719) 355-1001

6160 Tutt Blvd
Ste 102
Colorado Springs, CO 80923
Phone (303) 802-3472

6915 Tutt Blvd
Ste 110B
Colorado Springs, CO 80923
Phone (719) 445-1292

8565 Poplar Way
Ste 1063
Highlands Ranch, CO 80130
Phone (720) 348-2800

9218 Kimmer Dr
Ste 200
Lone Tree, CO 80124
Phone (303) 683-5620

1065 NE 125th St
Ste 300
North Miami, FL 33161
Phone (305) 891-0050

1065 NE 125th St
Ste 409
North Miami, FL 33161
Phone 8888526672 ext. 2224

Interoperability endpoints

  • Direct secure messaging: michael.dugo@chs1.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1366439770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH STREET",
            "address_2": "SUITE 300",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615833",
            "telephone_number": "888-852-6672",
            "fax_number": "305-891-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 TUTT BLVD STREET",
            "address_2": "SUITE 110B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233591",
            "telephone_number": "719-445-1292",
            "fax_number": "719-591-6486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9218 Kimmer Drive",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801246733",
            "country_code": "US",
            "telephone_number": "303-683-5620",
            "fax_number": "303-683-5609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUGO",
        "first_name": "MICHAEL",
        "middle_name": "SALVATORE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J8233",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR0050392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.