NPIMap

Individual provider Active NPI

Noami Blumenberg, PA-C

  • Medical Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1497343420
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
2940 N Circle Dr
Colorado Springs, CO 80909-1160
Phone
(719) 635-7321
Fax
(719) 635-2510
NPI assigned
Jan 5, 2021
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Medical Physician Assistant 363AM0700X NU Primary
Family Medicine Physician 207Q00000X 0006506 CO

Addresses

Primary practice location

2940 N Circle Dr
Colorado Springs, CO 80909-1160

Mailing address

1890 Queens Canyon CT
Colorado Springs, CO 80921-3691

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
I20210201000864 CO Practitioner - Physician Assistant 3870907926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Assoc in Gastroenterology, PCGroup PAC ID 7416925052, 26 clinicians

Practice addresses (Care Compare)

2940 N Circle Dr
Colorado Springs, CO 80909-1160
Phone (719) 635-7321

6031 E Woodmen Rd
Suite 100
Colorado Springs, CO 80923-2624
Phone (719) 635-7321

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.25 of 100Reported as group
Quality
93.43
Promoting interoperability
100
Improvement activities
40
Cost
74.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0006506COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Gastroenterology, P.C. CurrentSince Aug 28, 2023 Accepting new patients

Locations

2940 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 635-7321

6031 E Woodmen Rd
Ste 100
Colorado Springs, CO 80923
Phone (719) 635-7321

Organizations & group practices 2

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1497343420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 QUEENS CANYON CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 N CIRCLE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091160",
            "telephone_number": "719-635-7321",
            "fax_number": "719-635-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMENBERG",
        "first_name": "NOAMI",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "0006506",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.