Individual provider Active NPI

David Allen Stark, MD

  • Obstetrics & Gynecology Physician
  • Colorado Springs, CO
National Provider Identifier
1467492686
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
32648 Issued in CO
Practice address
6071 E Woodmen Rd
Suite 405
Colorado Springs, CO 80923-2607
Phone
(719) 442-0808
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 32648 CO Primary

Addresses

Primary practice location

6071 E Woodmen Rd
Suite 405
Colorado Springs, CO 80923-2607

Mailing address

6071 E Woodmen Rd
Suite 405
Colorado Springs, CO 80923-2607
Phone (719) 442-0808

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
I20081205000469 CO Practitioner - Obstetrics/Gynecology 0446311617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32648COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince Jul 1, 2018 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jul 1, 2018 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
University Perinatal Consultants, PLLC Obstetrics & Gynecology PastSince Dec 15, 2012 Accepting new patients

Locations

6071 E Woodmen Rd
Ste 405
Colorado Springs, CO 80923
Phone (719) 442-0808

17230 Jackson Creek Pkwy
Ste 300
Monument, CO 80132
Phone (713) 422-0808

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Interoperability endpoints

  • Direct secure messaging: david.stark@corhio.medicity.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1467492686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6071 E WOODMEN RD",
            "address_2": "SUITE 405",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232607",
            "telephone_number": "719-442-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 E WOODMEN RD",
            "address_2": "SUITE 405",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232607",
            "telephone_number": "719-442-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "32648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.