NPIMap

Individual provider Active NPI

Nicholas Alfred Piantanida, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Colorado Springs, CO
National Provider Identifier
1437132859
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
50399 Issued in CO
Practice address
175 S Union Blvd Ste 350
Colorado Springs, CO 80910-3146
Phone
(719) 633-5515
Fax
(719) 365-1307
NPI assigned
Nov 21, 2005
Last updated
Feb 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0050399 CO
Sports Medicine (Family Medicine) Physician 207QS0010X 200301159 NC
Sports Medicine (Family Medicine) Physician 207QS0010X 50399 CO Primary

Addresses

Primary practice location

175 S Union Blvd Ste 350
Colorado Springs, CO 80910-3146

Mailing address

3027 N Circle Dr
Colorado Springs, CO 80909-1179
Phone (719) 776-4646

Other practice location 1

3027 N Circle Dr
Colorado Springs, CO 80909-1179
Phone (719) 776-4646

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
I20140826001785 CO Practitioner - Family PracticePractitioner - Sports Medicine 4284807942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Uniformed Services Uhs Fe Hebert School of Med, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

175 S Union Blvd
Suite 350 Uchealth Inter Med Clinic Printe
Colorado Springs, CO 80910-3146
Phone (719) 633-5515

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0050399COMDFamily Medicine Physician
200301159NCMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Apr 8, 2019 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Apr 8, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

1220 Lake Plaza Dr
Ste 150
Colorado Springs, CO 80906
Phone (719) 365-3600

175 S Union Blvd
Ste 350
Colorado Springs, CO 80910
Phone (719) 633-5515

6161 Timber Rail Pt
#100
Fountain, CO 80817
Phone (719) 365-0110

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403

Organizations & group practices 3

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 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1437132859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3027 N CIRCLE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091179",
            "telephone_number": "719-776-4646",
            "fax_number": "719-776-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S UNION BLVD STE 350",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103146",
            "telephone_number": "719-633-5515",
            "fax_number": "719-365-1307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3027 N Circle Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809091179",
            "country_code": "US",
            "telephone_number": "719-776-4646",
            "fax_number": "719-776-4640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIANTANIDA",
        "first_name": "NICHOLAS",
        "middle_name": "ALFRED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "0050399",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NC",
            "license": "200301159",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CO",
            "license": "50399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.