NPIMap

Individual provider Active NPI

Jesse Alexander Flaxenburg, MD

  • Nephrology Physician
  • Colorado Springs, CO
National Provider Identifier
1376589242
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
44572 Issued in CO
Practice address
1914 Lelaray St
Colorado Springs, CO 80909-2800
Phone
(719) 632-7641
Fax
(719) 632-2925
NPI assigned
Jun 21, 2006
Last updated
Feb 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 44572 CO Primary
Internal Medicine Physician 207R00000X 44572 CO

Addresses

Primary practice location

1914 Lelaray St
Colorado Springs, CO 80909-2800

Mailing address

1914 Lelaray St
Colorado Springs, CO 80909-2800
Phone (719) 632-7641

Other identifiers 1

IdentifierTypeStateIssuer
00377881MedicaidCO

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
I20060818000180 CO Practitioner - NephrologyPractitioner - Internal Medicine 0941270052 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Yale University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Salida Hospital DistrictGroup PAC ID 3577451152, shared by 9 NPIs, 100 clinicians

Practice addresses (Care Compare)

1000 Rush Dr
Salida, CO 81201-9627
Phone (719) 530-2477

1400 E Boulder St
Memorial Central Ip Op
Colorado Springs, CO 80909-5533
Phone (719) 632-7641

1910 Lelaray St
Colorado Springs, CO 80909-2800
Phone (719) 632-7641

1914 Lelaray St
Colorado Springs, CO 80909-2800
Phone (719) 632-7641

2180 Hollow Brook Dr
Colorado Springs, CO 80918-1444
Phone (719) 632-7641

2222 N Nevada Ave
Penrose Main Ip Op
Colorado Springs, CO 80907-6819
Phone (719) 632-7641

3326 Centennial Blvd
Colorado Springs, CO 80907-4092
Phone (719) 632-7641

4050 Briargate Pkwy
Colorado Springs, CO 80920-7815
Phone (719) 632-7641

850 Eagleridge Blvd
Pueblo, CO 81008-2148
Phone (719) 632-7641

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44572COMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salida Hospital District CurrentSince Aug 1, 2023 Accepting new patients
Salida Hospital District CurrentSince Aug 1, 2023 Accepting new patients
Salida Hospital District CurrentSince Jul 1, 2025 Accepting new patients
Salida Hospital District Internal Medicine Current Accepting new patients
Transtreme, LLC Past Accepting new patients
Brigham and Womens Physicians Organization Inc Internal Medicine Past Accepting new patients
Brigham Community Practices Internal Medicine Past Accepting new patients
Ppna ASC LLC PastSince Aug 1, 2017 Accepting new patients
Emerson Hospital Past Accepting new patients

Locations

1000 Rush Dr
Salida, CO 81201
Phone (719) 530-2265

Interoperability endpoints

  • Direct secure messaging: jessef@pikes.curemd.direct-ci.com

Organizations & group practices 10

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 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1376589242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 LELARAY ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092800",
            "telephone_number": "719-632-7641",
            "fax_number": "719-632-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 LELARAY ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092800",
            "telephone_number": "719-632-7641",
            "fax_number": "719-632-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAXENBURG",
        "first_name": "JESSE",
        "middle_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CO",
            "license": "44572",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "44572",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00377881",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.