NPIMap

Organization Active NPI

Peakmed Colorado, LLC

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1407623218
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PEAKMED COLORADO, LLC
Practice address
13271 Bass Pro Dr Ste 140
Colorado Springs, CO 80921-3828
Phone
(719) 394-8664
NPI assigned
Dec 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Vikas Agarwal
Title
President & Treasurer
Phone
(415) 814-0927

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

13271 Bass Pro Dr Ste 140
Colorado Springs, CO 80921-3828

Mailing address

6945 Tutt Blvd
Colorado Springs, CO 80923-3566
Phone (844) 673-2563

National Provider Directory

National Provider Directory
Tax ID family
Peakmed Colorado LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

13271 Bass Pro Dr
Ste 140
Colorado Springs, CO 80921
Phone (719) 394-8664

6945 Tutt Blvd
Colorado Springs, CO 80923
Phone (719) 380-7325

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1407623218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6945 TUTT BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233566",
            "telephone_number": "844-673-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13271 BASS PRO DR STE 140",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213828",
            "telephone_number": "719-394-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAKMED COLORADO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "VIKAS",
        "authorized_official_title_or_position": "PRESIDENT & TREASURER",
        "authorized_official_telephone_number": "415-814-0927"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "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 Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.