Individual provider Active NPI

Alicia Ruth Apple, DO

  • Pediatrics Physician
  • Colorado Springs, CO
National Provider Identifier
1730441783
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
DR.0059934 Issued in CO
Practice address
104 Pro Rodeo Dr Ste 100
Colorado Springs, CO 80919-2334
Phone
(719) 522-0707
NPI assigned
Jun 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 1730441783 OK
Pediatrics Physician 208000000X DR.0059934 CO Primary

Addresses

Primary practice location

104 Pro Rodeo Dr Ste 100
Colorado Springs, CO 80919-2334

Mailing address

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

Other practice location 1

635 W 11th St
Tulsa, OK 74127-9014
Phone (918) 382-3100

Other practice location 2

4150 E Woodmen Rd Ste 100
Colorado Springs, CO 80920-8042
Phone (719) 418-2121

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alicia.apple@mvmg.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180315001718 CO Practitioner - Pediatric Medicine 4688985476 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1730441783OKMDEmergency Medicine Physician
DR.0059934COMDPediatrics Physician
5346OKMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Medical Group Colorado PLLC Pediatrics CurrentSince Oct 21, 2025 Accepting new patients
Matthews-Vu Medical Group, P.C. CurrentSince Apr 1, 2020 Accepting new patients
Matthews-Vu Medical Group, P.C. Current Accepting new patients
Matthews-Vu Medical Group, P.C. Pediatrics CurrentSince Apr 1, 2020 Accepting new patients
Peak Vista Community Health Centers CurrentSince Feb 27, 2018 Accepting new patients
Peak Vista Community Health Centers CurrentSince Feb 27, 2018 Accepting new patients

Locations

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

4150 E Woodmen Rd
Ste 100
Colorado Springs, CO 80920
Phone (719) 418-2121

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

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

3205 N Academy Blvd
Ste 100
Colorado Springs, CO 80917
Phone (719) 776-3600

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1730441783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 E WOODMEN RD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809208075",
            "telephone_number": "719-632-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PRO RODEO DR STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192334",
            "telephone_number": "719-522-0707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "635 W 11th St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741279014",
            "country_code": "US",
            "telephone_number": "918-382-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4150 E Woodmen Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809208042",
            "country_code": "US",
            "telephone_number": "719-418-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "APPLE",
        "first_name": "ALICIA",
        "middle_name": "RUTH",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "1730441783",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR.0059934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alicia.apple@mvmg.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "104 Pro Rodeo Dr Ste 100",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809192334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.