NPIMap

Individual provider Active NPI

Lisa Bonwell, M.D.

  • Internal Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1699705582
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
45483 Issued in CO
Practice address
1715 N Weber St
Colorado Springs, CO 80907-7532
Phone
(719) 632-4455
NPI assigned
Jul 4, 2006
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 45483 CO Primary

Addresses

Primary practice location

1715 N Weber St
Colorado Springs, CO 80907-7532

Mailing address

2695 Rocky Mountain Ave
Suite 150
Loveland, CO 80538-8702
Phone (970) 624-4443

Other practice location 1

1400 E Boulder St
Colorado Springs, CO 80909-5533
Phone (719) 365-9950

Other identifiers 1

IdentifierTypeStateIssuer
92578705MedicaidCO

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
I20070807000145 CO Practitioner - Internal Medicine 5193789808 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpine Medical Group Colorado PLLCGroup PAC ID 1759743347, 101 clinicians
Matthews-Vu Medical Group, P.C.Group PAC ID 3072790864, 39 clinicians

Practice addresses (Care Compare)

Denver, CO 80202
Phone (720) 728-5170

104 Pro Rodeo Dr
Suite 100
Colorado Springs, CO 80919-2334
Phone (719) 632-4455

1715 N Weber St
Colorado Springs, CO 80907-7524

1715 N Weber St
Suite 320
Colorado Springs, CO 80907-7554
Phone (719) 632-4455

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45483COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Matthews-Vu Medical Group, P.C. Internal Medicine CurrentSince Feb 20, 2023 Accepting new patients
Alpine Medical Group Colorado PLLC Internal Medicine CurrentSince Oct 21, 2025 Accepting new patients
Matthews-Vu Medical Group, P.C. Internal Medicine CurrentSince Feb 20, 2023 Accepting new patients
Matthews-Vu Medical Group, P.C. Internal Medicine Current Accepting new patients
Pulmonary Associates PastSince Jul 1, 1992 Accepting new patients

Locations

104 Pro Rodeo Dr
Ste 100
Colorado Springs, CO 80919
Phone (719) 522-0707

1715 N Weber St
Colorado Springs, CO 80907
Phone (719) 442-6570

1715 N Weber St
Ste 120
Colorado Springs, CO 80907
Phone (719) 471-8855

4190 E Woodmen Rd
Ste 100
Colorado Springs, CO 80920
Phone (630) 364-4851

999 17th St
Ste 500
Denver, CO 80202
Phone (720) 355-0539

Interoperability endpoints

  • Direct secure messaging: lisa.bonwell@mvmg.eclinicaldirectplus.com

Organizations & group practices 5

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1699705582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE",
            "address_2": "SUITE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388702",
            "telephone_number": "970-624-4443",
            "fax_number": "970-490-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 N WEBER ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077532",
            "telephone_number": "719-632-4455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 E Boulder St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809095533",
            "country_code": "US",
            "telephone_number": "719-365-9950",
            "fax_number": "719-365-9969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONWELL",
        "first_name": "LISA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "45483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92578705",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.