NPIMap

Organization Active NPI

Matthews-Vu Medical Group, P.C.

  • Internal Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1649438433
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MATTHEWS-VU MEDICAL GROUP, P.C.
Practice address
4190 E Woodmen Rd
Suite 100
Colorado Springs, CO 80920-8075
Phone
(719) 632-4455
Fax
(719) 633-4613
NPI assigned
May 28, 2008
Last updated
Feb 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Authorized official

Name
Kate Bogue
Title
Credentialing
Phone
(719) 632-4455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4190 E Woodmen Rd
Suite 100
Colorado Springs, CO 80920-8075

Mailing address

4190 E Woodmen Rd
Suite 100
Colorado Springs, CO 80920-8075
Phone (719) 632-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110603000138 CO Part B Supplier - Clinic/Group Practice 3072790864 Receives reassigned benefits from 111 practitioners
13 other NPIs on this enrollment
Practice locations: Colorado Springs, CO
O20190904000897 CO DME Supplier - Multi-Specialty - Physician 3072790864 Practice locations: Colorado Springs, CO

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory

Locations

104 Pro Rodeo Dr
Colorado Springs, CO 80919
Phone (719) 522-0707

104 Pro Rodeo Dr
Ste 110
Colorado Springs, CO 80919
Phone (719) 592-1788

1050 S Academy Blvd
Colorado Springs, CO 80910
Phone (719) 544-2219

1550 Pulsar Dr
Colorado Springs, CO 80916
Phone (303) 668-2678

1715 N Weber St
Ste 130
Colorado Springs, CO 80907
Phone (719) 633-5660

1715 N Weber St
Ste 220
Colorado Springs, CO 80907
Phone (719) 471-3246

4150 E Woodmen Rd
Colorado Springs, CO 80920

629 N Nevada Ave
Ste 100
Colorado Springs, CO 80903

3702 Automation Way
Fort Collins, CO 80525
Phone (352) 895-2266

Interoperability endpoints

  • Direct secure messaging: amy.berry@corhio.medicity.net
  • Direct secure messaging: carolyn.jenks@corhio.medicity.net
  • Direct secure messaging: christine.bong@corhio.medicity.net
  • Direct secure messaging: larry.gee2@corhio.medicity.net
  • Direct secure messaging: marlana.li@corhio.medicity.net
  • Direct secure messaging: michael.oneill@corhio.medicity.net
  • Direct secure messaging: michelle.root@corhio.medicity.net
  • Direct secure messaging: nur.matthews@corhio.medicity.net
  • Direct secure messaging: paul.safford@corhio.medicity.net
  • Direct secure messaging: richard.vu@corhio.medicity.net
  • Direct secure messaging: shabnum.matthews@corhio.medicity.net
  • Direct secure messaging: susan.dattilo@corhio.medicity.net

Practitioners & affiliated clinicians

Practitioners 137

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 137

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582848000000",
    "number": "1649438433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 E WOODMEN RD",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809208075",
            "telephone_number": "719-632-4455",
            "fax_number": "719-633-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 E WOODMEN RD",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809208075",
            "telephone_number": "719-632-4455",
            "fax_number": "719-633-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEWS-VU MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "BOGUE",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "719-632-4455"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "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 28, 2020; 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.