NPIMap

Individual provider Active NPI

Pankaj Nashikkar, MD

  • Internal Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1457413338
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
40770 Issued in CO
Practice address
2920 N Cascade Ave
Ste 200
Colorado Springs, CO 80907-6262
Phone
(719) 227-0027
Fax
(719) 955-4058
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 40770 CO Primary

Addresses

Primary practice location

2920 N Cascade Ave
Ste 200
Colorado Springs, CO 80907-6262

Mailing address

2920 N Cascade Ave
Ste 201
Colorado Springs, CO 80907-6262
Phone (719) 227-0027

Other identifiers 3

IdentifierTypeStateIssuer
NAB66175OtherCOBLUE SHIELD
54574838MedicaidCO
P00384458OtherCORAILROAD MEDICARE

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
I20070605000673 CO Practitioner - Internal Medicine 6608974217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pankaj Nashikkar MD LLCGroup PAC ID 5597057828, 2 clinicians

Practice addresses (Care Compare)

2920 N Cascade Ave
Suite 201
Colorado Springs, CO 80907-6264
Phone (719) 232-1939

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Colorado Springs, CO, CCN 067129
  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022
  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031
  • Center at Centennial, the Nursing home, Colorado Springs, CO, CCN 065390
  • The Center at Cordera Nursing home, Colorado Springs, CO, CCN 065413
  • Springs Village Care Center Nursing home, Colorado Springs, CO, CCN 065247
  • Pikes Peak Post Acute Nursing home, Colorado Springs, CO, CCN 065415

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40770COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pankaj Nashikkar MD LLC Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Alpha Group LLC Internal Medicine Current Accepting new patients
SNH Co Tenant LLC Past Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

2920 N Cascade Ave
Ste 201
Colorado Springs, CO 80907
Phone (719) 227-0027

2920 N Cascade Ave
Ste 200
Colorado Springs, CO 80907
Phone (719) 227-0027

Interoperability endpoints

  • Direct secure messaging: pnashikkar@physicianpartners.amazing-direct.com

Organizations & group practices 4

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 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1457413338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE",
            "address_2": "STE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076262",
            "telephone_number": "719-227-0027",
            "fax_number": "719-955-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE",
            "address_2": "STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076262",
            "telephone_number": "719-227-0027",
            "fax_number": "719-955-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASHIKKAR",
        "first_name": "PANKAJ",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "40770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "NAB66175",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54574838",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00384458",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.