NPIMap

Individual provider Active NPI

Stephen A Karagosian, PA-C

  • Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1437672409
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2767 Janitell Rd
Colorado Springs, CO 80906-4102
Phone
(719) 365-2888
Fax
(719) 365-1577
NPI assigned
Jul 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary
Military Health Care Provider 171000000X

Addresses

Primary practice location

2767 Janitell Rd
Colorado Springs, CO 80906-4102

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-2417

Other practice location 1

HHB 1-38 Unit #15735
Stephen Karagosian
Apo, AP 96224
Phone (315) 730-2463

Other practice location 2

Evans Army Community Hospital
1650 Cochrane Cir B7500
Ft Carson, CO 80913
Phone (774) 276-2012

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
I20210217002978 CO Practitioner - Physician Assistant 5890100234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1035 Garden of the Gods Rd
Colorado Springs, CO 80907-9427
Phone (719) 329-1000

13445 Voyager Pkwy
Colorado Springs, CO 80921-7648
Phone (719) 219-0333

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Oct 24, 2022 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Oct 24, 2022 Accepting new patients

Locations

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

2767 Janitell Rd
Colorado Springs, CO 80906
Phone (719) 365-2888

13445 Voyager Pkwy
Colorado Springs, CO 80921
Phone (719) 219-0333

4323 Integrity Center Pt
Colorado Springs, CO 80917
Phone (719) 591-2558

1035 Garden of the Gods Rd
Ste 120
Colorado Springs, CO 80907
Phone (719) 329-1000

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

11605 Meridian Market Vw
Ste 184
Peyton, CO 80831
Phone (719) 364-9555

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1437672409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071",
            "telephone_number": "970-624-2417",
            "fax_number": "970-652-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2767 JANITELL RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064102",
            "telephone_number": "719-365-2888",
            "fax_number": "719-365-1577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "HHB 1-38 Unit #15735",
            "address_2": "Stephen Karagosian",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AP",
            "postal_code": "96224",
            "country_code": "US",
            "telephone_number": "315-730-2463",
            "country_name": "United States",
            "address_type": "MIL"
        },
        {
            "address_1": "EVANS ARMY COMMUNITY HOSPITAL",
            "address_2": "1650 COCHRANE CIR B7500",
            "address_purpose": "LOCATION",
            "city": "FT CARSON",
            "state": "CO",
            "postal_code": "80913",
            "country_code": "US",
            "telephone_number": "774-276-2012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARAGOSIAN",
        "first_name": "STEPHEN",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-21",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.