Individual provider Active NPI

Linus Ngante Akamangwa, MD

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1740471069
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
CDRH.0058057 Issued in CO
Practice address
2150 Academy Cir Ste a
Colorado Springs, CO 80909-1676
Phone
(719) 645-8137
Fax
(719) 344-9768
NPI assigned
Aug 5, 2007
Last updated
Jun 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CDRH.0058057 CO Primary

Addresses

Primary practice location

2150 Academy Cir Ste a
Colorado Springs, CO 80909-1676

Mailing address

555 E Costilla St
Colorado Springs, CO 80903-3764
Phone (719) 633-8956

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
I20200409003328 CO Practitioner - Family Practice 2668567454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charis Medical Center IncGroup PAC ID 1153750252, 2 clinicians

Practice addresses (Care Compare)

2150 Academy Cir
Suite a
Colorado Springs, CO 80909-1676
Phone (719) 645-8137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CDRH.0058057COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Regional Medical Center, Inc. Family Medicine Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1740471069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E COSTILLA ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033764",
            "telephone_number": "719-633-8956",
            "fax_number": "719-547-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 ACADEMY CIR STE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091676",
            "telephone_number": "719-645-8137",
            "fax_number": "719-344-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKAMANGWA",
        "first_name": "LINUS",
        "middle_name": "NGANTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "CDRH.0058057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.