Organization Active NPI

Summit Rheumatology and Arthritis -Colorado PLLC

  • Rheumatology Physician
  • Colorado Springs, CO
National Provider Identifier
1619781861
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
SUMMIT RHEUMATOLOGY AND ARTHRITIS -COLORADO PLLC
Practice address
4105 Briargate Pkwy Ste 205
Colorado Springs, CO 80920-3484
Phone
(719) 886-6704
Fax
(877) 550-2140
NPI assigned
Feb 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Brittany Panico, DONPI 1811253677
Title
Sole Member/ DO
Phone
(619) 823-0642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

4105 Briargate Pkwy Ste 205
Colorado Springs, CO 80920-3484

Mailing address

2451 E Baseline Rd Ste 425
Gilbert, AZ 85234-0049
Phone (480) 494-2770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250318003720 CO Part B Supplier - Clinic/Group Practice 7810419934 Receives reassigned benefits from 4 practitioners
Practice locations: Colorado Springs, CO; Littleton, CO

National Provider Directory

National Provider Directory

Locations

991 Southpark Dr
Littleton, CO 80120
Phone (420) 400-7723

991 Southpark Dr
Ste 201
Littleton, CO 80120
Phone (719) 886-6704

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1619781861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 E BASELINE RD STE 425",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852340049",
            "telephone_number": "480-494-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 BRIARGATE PKWY STE 205",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203484",
            "telephone_number": "719-886-6704",
            "fax_number": "877-550-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT RHEUMATOLOGY AND ARTHRITIS -COLORADO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "PANICO",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "SOLE MEMBER/ DO",
        "authorized_official_telephone_number": "619-823-0642",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.