Individual provider Active NPI

Scott M Deeney, M.D.

  • Surgery Physician
  • Colorado Springs, CO
National Provider Identifier
1437425634
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DR.0061020 Issued in CO
Practice address
6071 E Woodmen Rd Ste 340
Colorado Springs, CO 80923-2612
Phone
(719) 591-8100
Fax
(719) 591-8101
NPI assigned
Apr 1, 2012
Last updated
Mar 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X DR.0061020 CO Primary

Addresses

Primary practice location

6071 E Woodmen Rd Ste 340
Colorado Springs, CO 80923-2612

Mailing address

6071 E Woodmen Rd Ste 340
Colorado Springs, CO 80923-2612
Phone (719) 591-8100

Other identifiers 1

IdentifierTypeStateIssuer
9000132811MedicaidCO

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
I20190418000555 CO Practitioner - General Surgery 4587890132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Minnesota, Duluth School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Springs Surgical Associates, PCGroup PAC ID 7315915402, 5 clinicians

Practice addresses (Care Compare)

6071 E Woodmen Rd
Suite 340
Colorado Springs, CO 80923-2612
Phone (719) 591-8100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0061020COMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Springs Surgical Associates, PC Surgery CurrentSince Apr 1, 2019 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

6071 E Woodmen Rd
Ste 340
Colorado Springs, CO 80923
Phone (719) 591-8100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1333238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1437425634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6071 E WOODMEN RD STE 340",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232612",
            "telephone_number": "719-591-8100",
            "fax_number": "719-591-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 E WOODMEN RD STE 340",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232612",
            "telephone_number": "719-591-8100",
            "fax_number": "719-591-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEENEY",
        "first_name": "SCOTT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-01",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0061020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000132811",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.