Organization Active NPI

Urology of Pueblo, PC

  • Urology Physician
  • Pueblo, CO
National Provider Identifier
1659791994
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
DR.0037048 Issued in CO
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

Updated by the provider on Jun 8, 2020

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

Authorized official

Name
Antonio Padilla Feliz, MDNPI 1538165691
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)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
82981035MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140909002187 CO Part B Supplier - Clinic/Group Practice 7719106517 Receives reassigned benefits from 1 practitioner
Practice locations: Pueblo, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2082425Urology of Pueblo, PC1925 E Orman, Ste A340, Pueblo, CO 81004Certificate of waiverAug 13, 2026

National Provider Directory

National Provider Directory

Locations

1925 E Orman Ave
Ste A340
Pueblo, CO 81004
Phone (719) 566-3227

Interoperability endpoints

  • Direct secure messaging: tonyfeliz@uop.medalliesdirect.net
  • FHIR API: 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.

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.

Verify at the official NPI Registry.