Individual provider Active NPI

John Lawrence Fleming, M.D.

  • Psychiatry Physician
  • Colorado Springs, CO
National Provider Identifier
1598761348
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20153 Issued in CO
Practice address
3630 Sinton Rd Ste 100
Colorado Springs, CO 80907-5072
Phone
(719) 471-7206
Fax
(719) 471-8452
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20153 CO Primary

Addresses

Primary practice location

3630 Sinton Rd Ste 100
Colorado Springs, CO 80907-5072

Mailing address

3630 Sinton Rd Ste 100
Colorado Springs, CO 80907-5072
Phone (719) 471-7206

Other identifiers 1

IdentifierTypeStateIssuer
01201532MedicaidCO

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
I20140414001502 CO Practitioner - Psychiatry 0446481550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Colorado School of Medicine, Denver, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3630 Sinton Rd
Suite 100
Colorado Springs, CO 80907-5072
Phone (719) 359-8812

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20153COMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Colorado TMS Center, LLC CurrentSince Dec 5, 2013 Accepting new patients

Locations

3225 International Cir
Ste 100
Colorado Springs, CO 80910
Phone (719) 471-7206

3630 Sinton Rd
Ste 100
Colorado Springs, CO 80907
Phone (719) 359-8812

Organizations & group practices 1

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1598761348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 SINTON RD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075072",
            "telephone_number": "719-471-7206",
            "fax_number": "719-471-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 SINTON RD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075072",
            "telephone_number": "719-471-7206",
            "fax_number": "719-471-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "JOHN",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "20153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01201532",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.