NPIMap

Individual provider Active NPI

Victoria Mallon, MD

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1477580397
Registry record updated Oct 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39730 Issued in CO
Practice address
160 W Fillmore St
Colorado Springs, CO 80907-6155
Phone
(719) 752-5547
Fax
(719) 642-1603
NPI assigned
Jun 27, 2006
Last updated
Oct 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2026

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 39730 CO Primary

Addresses

Primary practice location

160 W Fillmore St
Colorado Springs, CO 80907-6155

Mailing address

160 W Fillmore St
Colorado Springs, CO 80907-6155
Phone (719) 752-5547

Other practice location 1

1300 Fortino Blvd
Pueblo, CO 81008-2077
Phone (719) 404-5100

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.
Opted out of Medicare
Yes, effective Oct 1, 2026 through Oct 1, 2028

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051020000128 CO Practitioner - Family Practice 6800812785 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Albert Einstein College of Medicine of Yeshiva University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3210 N Academy Blvd
Suite 1
Colorado Springs, CO 80917-5158

999 17TH St
Suite 500
Denver, CO 80202-2728

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39730COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Medical Group Colorado PLLC Family Medicine CurrentSince Feb 16, 2026 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Feb 1, 2020 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Feb 1, 2020 Accepting new patients
Inpatient Consultants of Colorado, PC Family Medicine Past Accepting new patients
Inpatient Consultants of Colorado PC Family Medicine Past Accepting new patients
Hospitalists of Pueblo Past Accepting new patients

Locations

1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148

1633 Medical Center Pt
Fl 1
Colorado Springs, CO 80907
Phone (719) 667-4146

3210 N Academy Blvd
Ste 1
Colorado Springs, CO 80917
Phone (719) 591-4698

8890 N Union Blvd
Ste 200
Colorado Springs, CO 80920
Phone (719) 548-0700

8890 N Union Blvd
Ste 220
Colorado Springs, CO 80920
Phone (719) 574-9191

999 17th St
Ste 500
Denver, CO 80202
Phone (720) 355-0539

Interoperability endpoints

  • Direct secure messaging: victoria.mallon.p4@direct.clinicafamilyhealth.nextgenshare.com

Organizations & group practices 6

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793318400000",
    "number": "1477580397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 W FILLMORE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076155",
            "telephone_number": "719-752-5547",
            "fax_number": "719-642-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 W FILLMORE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076155",
            "telephone_number": "719-752-5547",
            "fax_number": "719-642-1603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Fortino Blvd",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810082077",
            "country_code": "US",
            "telephone_number": "719-404-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLON",
        "first_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "39730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.