NPIMap

Organization Active NPI

CS Cardiology Newco LLC

  • Radiology Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1376324293
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
CS CARDIOLOGY NEWCO LLC
Practice address
1625 Medical Center PT Ste 105
Colorado Springs, CO 80907-8733
Phone
(719) 960-0363
NPI assigned
Oct 6, 2023
Last updated
Jul 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CS CARDIOLOGY NEWCO LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Erin Petrie
Title
VP of RCM
Phone
(708) 498-4493

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary
Cardiovascular Disease Physician 207RC0000X
Nuclear Imaging & Therapy Physician 207UN0902X
Diagnostic Radiology Physician 2085R0202X
Vascular Surgery Physician 2086S0129X

Addresses

Primary practice location

1625 Medical Center PT Ste 105
Colorado Springs, CO 80907-8733

Mailing address

PO Box 661266
Dallas, TX 75266-1266
Phone (719) 445-7544

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230901000086 CO Part B Supplier - Clinic/Group Practice 2365805736 Receives reassigned benefits from 57 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Canon City, CO; Colorado Springs, CO; Durango, CO; Pueblo West, CO

Other NPIs on the same Medicare enrollment 7

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

National Provider Directory

National Provider Directory
Tax ID family
CS Cardiology Newco LLC9 organizations share this tax ID, including this one
Part of
CS Cardiology Newco LLC

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 48

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 48

NPI Registry JSON

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1376324293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661266",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752661266",
            "telephone_number": "719-445-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER PT STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078733",
            "telephone_number": "719-960-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CS CARDIOLOGY NEWCO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CS CARDIOLOGY NEWCO LLC",
        "enumeration_date": "2023-10-06",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "PETRIE",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "VP OF RCM",
        "authorized_official_telephone_number": "708-498-4493"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 17, 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.