Individual provider Active NPI

Samantha Milne Minneman, MD

  • Hospitalist Physician
  • Colorado Springs, CO
National Provider Identifier
1386933133
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
DR.0054031 Issued in CO
Practice address
5575 Tech Center Dr
Suite 106
Colorado Springs, CO 80919-2353
Phone
(719) 291-2950
NPI assigned
Apr 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X DR.0054031 CO
Hospitalist Physician 208M00000X DR.0054031 CO Primary

Addresses

Primary practice location

5575 Tech Center Dr
Suite 106
Colorado Springs, CO 80919-2353

Mailing address

5575 Tech Center Dr
Suite 106
Colorado Springs, CO 80919-2353
Phone (719) 291-2950

Other practice location 1

13123 E 16th Ave
Aurora, CO 80045-7106
Phone (720) 777-1234

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
I20140721000744 CO Practitioner - HospitalistPractitioner - Pediatric Medicine 0840416228 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians, Incorporated CurrentSince Apr 1, 2019 Accepting new patients
University Physicians Incorporated Pediatrics CurrentSince Apr 1, 2019 Accepting new patients
Children'S Hospital Colorado Current Accepting new patients
Uch-MHS Past Accepting new patients
Children'S Hospital Colorado Past Accepting new patients
Uch-MHS Past Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

8890 N Union Blvd
Ste 200
Colorado Springs, CO 80920
Phone (719) 548-0700

8890 N Union Blvd
Ste 220
Colorado Springs, CO 80920
Phone (719) 574-9191

4050 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 364-5000

6001 E Woodmen Rd
Colorado Springs, CO 80923
Phone (719) 571-1000

4090 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 305-1234

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

Dept 1061
Denver, CO 80256

Interoperability endpoints

  • Direct secure messaging: smilne52079@direct.childrenscolorado.org

Organizations & group practices 7

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": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1386933133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 TECH CENTER DR",
            "address_2": "SUITE 106",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192353",
            "telephone_number": "719-291-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 TECH CENTER DR",
            "address_2": "SUITE 106",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192353",
            "telephone_number": "719-291-2950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13123 E 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800457106",
            "country_code": "US",
            "telephone_number": "720-777-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINNEMAN",
        "first_name": "SAMANTHA",
        "middle_name": "MILNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR.0054031",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "DR.0054031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.