NPIMap

Individual provider Active NPI

Ava J Roberts, PODIATRIST DPM

  • Foot Surgery Podiatrist
  • Colorado Springs, CO
National Provider Identifier
1467451583
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
721 Issued in CO
Practice address
175 S Union Blvd Ste 305
Colorado Springs, CO 80910-3126
Phone
(719) 365-6881
Fax
(719) 365-6877
NPI assigned
Jul 20, 2005
Last updated
Jul 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC004676R PA
Podiatrist 213E00000X 1188 VI
Foot Surgery Podiatrist 213ES0131X 721 CO Primary

Addresses

Primary practice location

175 S Union Blvd Ste 305
Colorado Springs, CO 80910-3126

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071

Other practice location 1

Route 301 North 'B' Street
Zuni, NM 87327-0467
Phone (505) 782-4431

Other practice location 2

1235 Lake Plaza Dr Ste 220
Colorado Springs, CO 80906-3556
Phone (719) 292-5051

Other identifiers 1

IdentifierTypeStateIssuer
64226778MedicaidNM

Other names 1

  • Ava J. Thomas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, VI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130517000437 CO Practitioner - Podiatry 0345135513 Reassigns benefits to 2 organizations
I20241202002420 VI Practitioner - Podiatry 0345135513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restore Health Family PracticeGroup PAC ID 9537577762, 3 clinicians
Virgin Islands Diabetes Center of Excellence IncGroup PAC ID 4183070618, 5 clinicians

Practice addresses (Care Compare)

1235 Lake Plaza Dr
Suite 220
Colorado Springs, CO 80906-3556
Phone (719) 292-5051

4 B Sion Farm Shopp Ctr
Suite 1
Christiansted, VI 00820-4433
Phone (340) 208-0260

4040 Estate la Grande Princesse
Suite 3
Christiansted, VI 00820-5166

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue12
Removal of nail tissue37
Removal or shaving of skin growth20
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
721COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Restore Health Family Practice CurrentSince Jul 17, 2025 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Apr 1, 2023 Accepting new patients
Virgin Islands Diabetes Center of Excellence Inc CurrentSince Nov 18, 2024 Accepting new patients
Uch-MHS Past Accepting new patients
DHHS PHS Naihs Fort Defiance Hospital Past Accepting new patients
Associates in Podiatry Foot & Ankle Surgery Past Accepting new patients

Locations

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

1235 Lake Plaza Dr
Ste 220
Colorado Springs, CO 80906
Phone (719) 292-5051

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

175 S Union Blvd
Colorado Springs, CO 80910
Phone (719) 305-8000

175 S Union Blvd
Ste 305
Colorado Springs, CO 80910
Phone (719) 365-6881

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403

4040 Estate La Grande Princesse
Ste 3
Christiansted, VI 00820
Phone (305) 300-5856

4100 Sion Farm Shopp Ctr
Ste 1
Christiansted, VI 00820
Phone (340) 718-3263

Organizations & group practices 7

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1467451583",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S UNION BLVD STE 305",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103126",
            "telephone_number": "719-365-6881",
            "fax_number": "719-365-6877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Route 301 North 'B' Street",
            "address_purpose": "LOCATION",
            "city": "Zuni",
            "state": "NM",
            "postal_code": "873270467",
            "country_code": "US",
            "telephone_number": "505-782-4431",
            "fax_number": "505-782-7551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1235 Lake Plaza Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809063556",
            "country_code": "US",
            "telephone_number": "719-292-5051",
            "fax_number": "719-306-0183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "AVA",
        "middle_name": "J",
        "credential": "PODIATRIST DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC004676R",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VI",
            "license": "1188",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CO",
            "license": "721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64226778",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVA",
            "last_name": "THOMAS",
            "middle_name": "J.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.