NPIMap

Individual provider Active NPI

Dwight A. Robertson, M.D.

  • Internal Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1740276179
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
30026 Issued in CO
Practice address
1465 Kelly Johnson Blvd
Suite 310
Colorado Springs, CO 80920-3955
Phone
(719) 535-8900
Fax
(719) 535-8986
NPI assigned
Sep 21, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 30026 CO Primary

Addresses

Primary practice location

1465 Kelly Johnson Blvd
Suite 310
Colorado Springs, CO 80920-3955

Mailing address

PO Box 38220
Colorado Springs, CO 80937-8220
Phone (719) 535-8900

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
I20040810001301 CO Practitioner - Internal Medicine 1951391663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Wisconsin, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3920 N Union Blvd
Suite 320
Colorado Springs, CO 80907-4916
Phone (719) 535-8900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.87 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30026COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pikes Peak Internal Medicine Associates, L.L.C. Internal Medicine CurrentSince Mar 26, 2004 Accepting new patients

Locations

1465 Kelly Johnson Blvd
Ste 310
Colorado Springs, CO 80920
Phone (719) 726-6573

3920 N Union Blvd
Ste 320
Colorado Springs, CO 80907
Phone (719) 535-8900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12754/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1740276179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809378220",
            "telephone_number": "719-535-8900",
            "fax_number": "719-535-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 KELLY JOHNSON BLVD",
            "address_2": "SUITE 310",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203955",
            "telephone_number": "719-535-8900",
            "fax_number": "719-535-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "DWIGHT",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "30026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.