Active NPI
Andres Alejandro Paredes, PA
- Physician Assistant
- Colorado Springs, CO
National Provider Identifier
1740835602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 559 Vincent St SPC Base
Colorado Springs, CO 80914-1541 - Phone
- (719) 524-2273
- NPI assigned
- Aug 7, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
559 Vincent St SPC Base
Colorado Springs, CO 80914-1541
Mailing address
220 Falcon Pkwy
Schriever Afb, CO 80912-5005
Phone (719) 524-2273
Other practice location 1
310 W Losey St
Scott AFB, IL 62225-5250
Phone (618) 256-7192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1740835602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 FALCON PKWY",
"city": "SCHRIEVER AFB",
"state": "CO",
"postal_code": "809125005",
"telephone_number": "719-524-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "559 VINCENT ST SPC BASE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809141541",
"telephone_number": "719-524-2273"
}
],
"practiceLocations": [
{
"address_1": "310 W Losey St",
"address_purpose": "LOCATION",
"city": "Scott AFB",
"state": "IL",
"postal_code": "622255250",
"country_code": "US",
"telephone_number": "618-256-7192",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAREDES",
"first_name": "ANDRES",
"middle_name": "ALEJANDRO",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-07",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.