Active NPI
Sumair Motiwala, M.D.
- Family Medicine Physician
- Colorado Springs, CO
National Provider Identifier
1396158176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR.0059070
- Practice address
- 3207 N Academy Blvd Ste 3100
Colorado Springs, CO 80917-5100 - Phone
- (719) 632-5700
- NPI assigned
- Jun 9, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DR.0059070 | CO | Primary |
Addresses
Primary practice location
3207 N Academy Blvd Ste 3100
Colorado Springs, CO 80917-5100
Mailing address
3205 N Academy Blvd Ste 130
Colorado Springs, CO 80917-5152
Phone (719) 632-5700
Other practice location 1
625 19th St S
Birmingham, AL 35233-1900
Phone (256) 551-4433
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0059070 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Vista Community Health Centers | Current | Accepting new patients | |
| Peak Vista Community Health Centers | Current | Accepting new patients |
Locations
1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120
3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Colorado Springs, CO
- NPI 1730166034
-
- Federally Qualified Health Center (FQHC)
- Colorado Springs, CO
- NPI 1871347443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544227200000",
"number": "1396158176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3205 N ACADEMY BLVD STE 130",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809175152",
"telephone_number": "719-632-5700",
"fax_number": "719-344-7837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3207 N ACADEMY BLVD STE 3100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809175100",
"telephone_number": "719-632-5700"
}
],
"practiceLocations": [
{
"address_1": "625 19th St S",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352331900",
"country_code": "US",
"telephone_number": "256-551-4433",
"fax_number": "256-551-4633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOTIWALA",
"first_name": "SUMAIR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-09",
"last_updated": "2018-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0059070",
"primary": true
}
],
"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 Dec 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.