NPIMap

Individual provider Active NPI

John Robert Epperly, MD

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1457578171
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0064860 Issued in CO
Practice address
340 Printers Pkwy
Colorado Springs, CO 80910-3190
Phone
(196) 325-7007
Fax
(719) 344-7870
NPI assigned
Apr 20, 2007
Last updated
May 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0064860 CO Primary

Addresses

Primary practice location

340 Printers Pkwy
Colorado Springs, CO 80910-3190

Mailing address

340 Printers Pkwy
Colorado Springs, CO 80910-3190
Phone (719) 632-5700

Other identifiers 1

IdentifierTypeStateIssuer
200549120DMedicaidKS

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
I20200625001207 CO Practitioner - Emergency MedicinePractitioner - Family Practice 9739258138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Arizona College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1400 E Boulder
Colorado Springs, CO 80909-5533
Phone (719) 776-5000

340 Printers Pkwy
Colorado Springs, CO 80910-3190
Phone (719) 632-5700

350 Printers Pkwy
Colorado Springs, CO 80910-3190
Phone (719) 632-5700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0064860COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Community Hospital Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Lincoln Community Hospital Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Peak Vista Community Health Centers CurrentSince Jul 6, 2020 Accepting new patients
Peak Vista Community Health Centers CurrentSince Jul 6, 2020 Accepting new patients
Emergency Services of Kansas, PA Family Medicine Past Accepting new patients
Peak Vista Community Health Centers Past Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients
Via Christi Immediate Care, Mother Mary Anne Inc. Past Accepting new patients

Locations

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

340 Printers Pkwy
Colorado Springs, CO 80910
Phone (719) 228-6635

Interoperability endpoints

  • Direct secure messaging: john.epperly.p1@direct.peakvista.nextgenshare.com

Organizations & group practices 8

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 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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1457578171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 PRINTERS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103190",
            "telephone_number": "719-632-5700",
            "fax_number": "719-344-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 PRINTERS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103190",
            "telephone_number": "196-325-7007",
            "fax_number": "719-344-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPERLY",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "0064860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200549120D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.