Linus Ngante Akamangwa, MD
Individual provider Active NPI Family Medicine Physician · Colorado Springs, CO
NPI 1740471069 · NPPES record last updated Jun 25, 2020
Key facts
- NPI
- 1740471069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- CDRH.0058057 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- 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 Inc
Practice addresses (Care Compare)
2150 Academy Cir
Suite a
Colorado Springs, CO 80909-1676
Phone (719) 645-8137
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200409003328 | CO | Practitioner - Family Practice | 2668567454 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDRH.0058057 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Joseph Regional Medical Center, Inc. | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | CDRH.0058057 | CO | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000584234 | Other | IN | BCBS |
| 000000604390 | Other | IN | BCBS |
| 200923140 | Medicaid | IN |
Other providers in Colorado Springs, CO
- Rebecca Gay Aigner
- Emily Agnes Aijkens
- Air Supplu of Colorado
- Airgas-Intermountain, Inc.
- Ajm Hearing Care Services
- Olu Akande
- Judy Lynn Aker
- Kayla Diane Akerboom
- Kyle Clayton Akers
- Akota Home Care LLC
All providers in Colorado Springs, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.