Active NPI
Urology of Pueblo, PC
- Urology Physician
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- DR.0037048
- Legal business name
- UROLOGY OF PUEBLO, PC
- Practice address
- 1925 E Orman Ave Ste A340
Pueblo, CO 81004-3571 - Phone
- (719) 569-7400
- Fax
- (719) 569-7338
- NPI assigned
- Apr 25, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Antonio Padilla Feliz, MD
- Title
- President
- Phone
- (719) 569-7400
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | DR.0037048 | CO | Primary |
Addresses
Primary practice location
1925 E Orman Ave Ste A340
Pueblo, CO 81004-3571
Mailing address
1925 E Orman Ave Ste A340
Pueblo, CO 81004-3571
Phone (719) 569-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82981035 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2082425 | Urology of Pueblo, PC | Certificate of waiver | Aug 13, 2026 |
National Provider Directory
National Provider DirectoryLocations
1925 E Orman Ave
Ste A340
Pueblo, CO 81004
Phone (719) 566-3227
Interoperability endpoints
- tonyfeliz@uop.medalliesdirect.net
- https://app.meldrx.com/api/fhir/uc35834_urologyofpueblopc
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Urology Physician
- Pueblo, CO
- NPI 1538165691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591574400000",
"number": "1659791994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 E ORMAN AVE STE A340",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810043571",
"telephone_number": "719-569-7400",
"fax_number": "719-569-7338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 E ORMAN AVE STE A340",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810043571",
"telephone_number": "719-569-7400",
"fax_number": "719-569-7338"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLOGY OF PUEBLO, PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-25",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A",
"authorized_official_last_name": "FELIZ",
"authorized_official_first_name": "ANTONIO",
"authorized_official_middle_name": "PADILLA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "719-569-7400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "CO",
"license": "DR.0037048",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "82981035",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.