Active NPI
Devin Gamundoy, D.O.
- Family Medicine Physician
- Parker, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR.0059173
- Practice address
- 8401 S Chambers Rd
Parker, CO 80134 - Phone
- (720) 875-2880
- Fax
- (720) 875-2877
- NPI assigned
- Jun 19, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | DR.0059173 | CO | |
| Family Medicine Physician | 207Q00000X | 5101021335 | MI | |
| Family Medicine Physician | 207Q00000X | DR.0059173 | CO | Primary |
Addresses
Primary practice location
8401 S Chambers Rd
Parker, CO 80134
Mailing address
8401 S Chambers Rd
Parker, CO 80134-9498
Phone (720) 875-2880
Other practice location 1
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
Other practice location 2
1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (269) 982-4941
Other practice location 3
3205 N Academy Blvd Ste 130
Colorado Springs, CO 80917-5152
Phone (719) 632-5700
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8401 S Chambers Rd
Englewood, CO 80112-3276
Phone (720) 875-2880
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0059173 | CO | MD | Family Medicine Physician |
| 5101021335 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Vista Health Center LLC | Current | Accepting new patients | |
| Peak Vista Community Health Centers | Current | Accepting new patients | |
| Peak Vista Community Health Centers | Current | Accepting new patients |
Locations
1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120
3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873
8401 S Chambers Rd
Greenwood Village, CO 80112
Phone (303) 373-2008
Interoperability endpoints
- https://api.platform.athenahealth.com/8078/brand/1/csg/1/fhir/r4
- devin.gamundoy.1@8078.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Englewood, CO
- NPI 1366606709
-
- Federally Qualified Health Center (FQHC)
- Colorado Springs, CO
- NPI 1730166034
-
- Federally Qualified Health Center (FQHC)
- Colorado Springs, CO
- NPI 1871347443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554336000000",
"number": "1730593518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 S CHAMBERS RD",
"city": "PARKER",
"state": "CO",
"postal_code": "801349498",
"telephone_number": "720-875-2880",
"fax_number": "720-875-2877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 S CHAMBERS RD",
"city": "PARKER",
"state": "CO",
"postal_code": "80134",
"telephone_number": "720-875-2880",
"fax_number": "720-875-2877"
}
],
"practiceLocations": [
{
"address_1": "1234 Napier Ave",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MI",
"postal_code": "49085",
"country_code": "US",
"telephone_number": "269-982-4941",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1234 Napier Ave",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MI",
"postal_code": "490852112",
"country_code": "US",
"telephone_number": "269-982-4941",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3205 N Academy Blvd Ste 130",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809175152",
"country_code": "US",
"telephone_number": "719-632-5700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAMUNDOY",
"first_name": "DEVIN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-19",
"last_updated": "2019-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "CO",
"license": "DR.0059173",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101021335",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0059173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.