NPIMap

Individual provider Active NPI

Dheeraj Dhotre, M.D.

  • Pulmonary Disease Physician
  • Colorado Springs, CO
National Provider Identifier
1508046368
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
51941 Issued in CO
Practice address
2312 N Nevada Ave Ste 305
Colorado Springs, CO 80907-5318
Phone
(719) 471-7064
Fax
(719) 776-5459
NPI assigned
Nov 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 51941 CO Primary

Addresses

Primary practice location

2312 N Nevada Ave Ste 305
Colorado Springs, CO 80907-5318

Mailing address

2222 N Nevada Ave
Suite 4004
Colorado Springs, CO 80907-6832
Phone (719) 471-7064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, SD2 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
I20131003000076 CO Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 9739313834 Reassigns benefits to 3 organizations
I20180613001945 SD Practitioner - Pulmonary Disease 9739313834 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51941COMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rapid City Regional Hospital Inc CurrentSince May 2, 2018 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince May 2, 2018 Accepting new patients
Usacs Observation Medicine Services of Colorado, Inc CurrentSince Feb 2, 2026 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince Feb 2, 2026 Accepting new patients
Colorado Springs Pulmonary Consultants PC Pulmonary Disease CurrentSince Oct 1, 2013 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients

Locations

2312 N Nevada Ave
Ste 305
Colorado Springs, CO 80907
Phone (719) 471-7064

2222 N Nevada Ave
Ste 4004
Colorado Springs, CO 80907
Phone (719) 471-7064

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Usacs Observation Medicine Services of Colorado Inc. 73 clinicians
Catholic Health Initiatives Colorado 1,230 clinicians

Practice addresses (Care Compare)

11600 W 2ND PL
Lakewood, CO 80228-1527
Phone (720) 321-4161

2222 N Nevada Ave
Colorado Springs, CO 80907-6794
Phone (719) 776-5333

2312 N Nevada Ave
Suite 305
Colorado Springs, CO 80907-5318
Phone (719) 471-7064

6001 E Woodman Rd
Colorado Springs, CO 80923-2601
Phone (719) 571-1476

Hospital & facility affiliations

  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031
  • St Mary-Corwin Hospital Hospital, Pueblo, CO, CCN 060012

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1508046368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 N NEVADA AVE",
            "address_2": "SUITE 4004",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076832",
            "telephone_number": "719-471-7064",
            "fax_number": "719-776-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 N NEVADA AVE STE 305",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075318",
            "telephone_number": "719-471-7064",
            "fax_number": "719-776-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHOTRE",
        "first_name": "DHEERAJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-09",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CO",
            "license": "51941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.