Individual provider Active NPI

Imelda Suelto, MD

  • Anesthesiology Physician
  • Colorado Springs, CO
National Provider Identifier
1457305443
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME38870 Issued in CO
Practice address
2460 Oak Hills Dr
Colorado Springs, CO 80919-3474
Phone
(719) 661-9441
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME38870 CO
Anesthesiology Physician 207L00000X ME38870 CO Primary

Addresses

Primary practice location

2460 Oak Hills Dr
Colorado Springs, CO 80919-3474

Mailing address

PO Box 76510
Colorado Springs, CO 80970-6510
Phone (719) 663-8884

Other practice location 1

1615 Medical Center Pt
Colorado Springs, CO 80907-5788
Phone (352) 867-8898 ext. 2631

Other practice location 2

1322 N Academy Blvd Ste 204
Colorado Springs, CO 80909-3320
Phone (719) 661-9441

Other practice location 3

1322 N Academy Blvd Ste 204
Colorado Springs, CO 80909-3320
Phone (719) 638-8844

Other identifiers 3

IdentifierTypeStateIssuer
013437062MedicaidCO
388738OtherCOANTHEM/BLUE CROSS
050083513OtherCORAILROAD MEDICARE

Other names 1

  • Melody Suelto Professional name

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
I20070518000265 CO Practitioner - AnesthesiologyPractitioner - Pain ManagementPractitioner - Interventional Pain Management 7113024571 Reassigns benefits to 1 organization
Practice locations: Canon City, CO; Colorado Springs, CO

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management, Pain Management
Education
University of New Mexico School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
US Anesthesia Partners of Colorado IncGroup PAC ID 6002072055, 472 clinicians

Practice addresses (Care Compare)

2222 N Nevada Ave
Penrose Hospital
Colorado Springs, CO 80907-6819
Phone (303) 438-3999

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME38870COMDAnesthesiology Physician
19516SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
US Anesthesia Partners of Colorado Inc. Anesthesiology CurrentSince May 24, 2022 Accepting new patients

Locations

2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333

8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

Organizations & group practices 1

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 5

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1457305443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 76510",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809706510",
            "telephone_number": "719-663-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 OAK HILLS DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193474",
            "telephone_number": "719-661-9441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Medical Center Pt",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809075788",
            "country_code": "US",
            "telephone_number": "352-867-8898 x2631",
            "fax_number": "352-732-6282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1322 N Academy Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809093320",
            "country_code": "US",
            "telephone_number": "719-661-9441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1322 N Academy Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809093320",
            "country_code": "US",
            "telephone_number": "719-638-8844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUELTO",
        "first_name": "IMELDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CO",
            "license": "ME38870",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "ME38870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013437062",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/BLUE CROSS",
            "identifier": "388738",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050083513",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELODY",
            "last_name": "SUELTO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.