NPIMap

Individual provider Active NPI

Christina Lynn Koshak, M.D.

  • Orthopaedic Surgery Physician
  • Pueblo, CO
National Provider Identifier
1659788685
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
DR.0063364 Issued in CO
Practice address
3530 E Spaulding Ave
Pueblo, CO 81008-2209
Phone
(719) 296-9000
Fax
(719) 296-9001
NPI assigned
Jul 22, 2014
Last updated
May 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2014021822 MO
Orthopaedic Surgery Physician 207X00000X DR.0063364 CO Primary
Orthopaedic Surgery of the Spine Physician 207XS0117X 63364 CO

Addresses

Primary practice location

3530 E Spaulding Ave
Pueblo, CO 81008-2209

Mailing address

3530 E Spaulding Ave
Pueblo, CO 81008-2209
Phone (719) 296-9000

Other practice location 1

4112 Outlook Blvd Ste 37
Pueblo, CO 81008-1667
Phone (719) 562-6254

Other names 1

  • Christina Lynn Goldstein Former name

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
I20191209002213 CO Practitioner - Orthopedic Surgery 1557580875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

4112 Outlook Blvd
Suite 37
Pueblo, CO 81008-1667
Phone (719) 562-6254

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion38
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63364COMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince Jul 1, 2024 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Kenneth D Danylchuk, MD, PC Orthopaedic Surgery CurrentSince Mar 1, 2023 Accepting new patients
Catholic Health Initiatives Colorado Orthopaedic Surgery CurrentSince Jul 1, 2024 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

3530 E Spaulding Ave
Pueblo, CO 81008
Phone (719) 296-0077

4112 Outlook Blvd
Ste 37
Pueblo, CO 81008
Phone (719) 562-6254

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Organizations & group practices 6

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1659788685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 E SPAULDING AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082209",
            "telephone_number": "719-296-9000",
            "fax_number": "719-296-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 E SPAULDING AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082209",
            "telephone_number": "719-296-9000",
            "fax_number": "719-296-9001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4112 Outlook Blvd Ste 37",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810081667",
            "country_code": "US",
            "telephone_number": "719-562-6254",
            "fax_number": "719-562-6255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSHAK",
        "first_name": "CHRISTINA",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2014021822",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "DR.0063364",
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CO",
            "license": "63364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "GOLDSTEIN",
            "middle_name": "LYNN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.