NPIMap

Individual provider Active NPI

Robert Todd Wilcox, M.D.

  • Surgery Physician
  • Colorado Springs, CO
National Provider Identifier
1750359642
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
41155 Issued in CO
Practice address
6965 Tutt Blvd Ste 200
Colorado Springs, CO 80923-3598
Phone
(719) 377-3477
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 41155 CO Primary

Addresses

Primary practice location

6965 Tutt Blvd Ste 200
Colorado Springs, CO 80923-3598

Mailing address

6965 Tutt Blvd Ste 200
Colorado Springs, CO 80923-3598
Phone (719) 377-3477

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
I20040204000418 CO Practitioner - General Surgery 6204729213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Colorado School of Medicine, Denver, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pikes Peak Reflux and Weight Loss Surgery PLLCGroup PAC ID 1850725334, 2 clinicians

Practice addresses (Care Compare)

595 Chapel Hills Dr
Suite 245
Colorado Springs, CO 80920-1056
Phone (719) 377-3477

Hospital & facility affiliations

  • AdventHealth Parker Hospital, Parker, CO, CCN 060114

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Women'S Care of Colorado Springs, LLC CurrentSince Oct 1, 2019 Accepting new patients
Julie Unruh, Inc PastSince Jan 5, 2025 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

4810 Rusina Rd
Ste B
Colorado Springs, CO 80907
Phone (719) 358-5377

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1750359642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6965 TUTT BLVD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233598",
            "telephone_number": "719-377-3477",
            "fax_number": "719-988-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6965 TUTT BLVD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233598",
            "telephone_number": "719-377-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "ROBERT",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "41155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.