NPIMap

Individual provider Active NPI

Keith William Bullinger, MD

  • Cardiovascular Disease Physician
  • Colorado Springs, CO
National Provider Identifier
1780144329
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
DR.0074193 Issued in CO
Practice address
7435 Sisters GRV Ste 100
Colorado Springs, CO 80923-2628
Phone
(719) 960-0363
NPI assigned
Mar 20, 2019
Last updated
May 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X DR.0074193 CO Primary

Addresses

Primary practice location

7435 Sisters GRV Ste 100
Colorado Springs, CO 80923-2628

Mailing address

PO Box 661266
Dallas, TX 75266-1266
Phone (719) 445-7544

Other practice location 1

1625 Medical Center Pt Ste 200
Colorado Springs, CO 80907-5748
Phone (719) 960-0363

Other practice location 2

904 Hailey Ln.
Units C&D
Pueblo West, CO 80908
Phone (719) 960-0363

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbullinger154131@direct.metrohealth.org

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
I20250313001702 CO Practitioner - Cardiovascular Disease (Cardiology) 5698005999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Kansas School of Med (KC/Wich/Sal), 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CS Cardiology Newco LLCGroup PAC ID 2365805736, 46 clinicians

Practice addresses (Care Compare)

1625 Medical Ctr PT
Suite 210
Colorado Springs, CO 80907-5798
Phone (719) 960-0363

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CS Cardiology Newco LLC Cardiovascular Disease CurrentSince Mar 10, 2025 Accepting new patients
CS Cardiology Newco LLC Cardiovascular Disease CurrentSince Mar 10, 2025 Accepting new patients
CS Cardiology Newco LLC Cardiovascular Disease Current Accepting new patients
CS Cardiology Newco LLC Cardiovascular Disease Past Accepting new patients
CS Cardiology Newco LLC Cardiovascular Disease Past Accepting new patients

Locations

1625 Medical Center Pt
Ste 105
Colorado Springs, CO 80907

1625 Medical Center Pt
Ste 200
Colorado Springs, CO 80907
Phone (719) 630-3276

1625 Medical Center Pt
Ste 210
Colorado Springs, CO 80907
Phone (719) 635-5148

1625 Medical Center Pt
Ste 240
Colorado Springs, CO 80907
Phone (719) 577-9063

1 Mercado St
Ste 130
Durango, CO 81301
Phone (970) 247-1120

904 E Hailey Ln
Ste C
Pueblo West, CO 81007

Interoperability endpoints

  • Direct secure messaging: kbullinger154131@direct.metrohealth.org

Organizations & group practices 5

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 9

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": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1780144329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661266",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752661266",
            "telephone_number": "719-445-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7435 SISTERS GRV STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232628",
            "telephone_number": "719-960-0363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 Medical Center Pt Ste 200",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809075748",
            "country_code": "US",
            "telephone_number": "719-960-0363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "904 Hailey Ln.",
            "address_2": "Units C&D",
            "address_purpose": "LOCATION",
            "city": "Pueblo West",
            "state": "CO",
            "postal_code": "80908",
            "country_code": "US",
            "telephone_number": "719-960-0363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULLINGER",
        "first_name": "KEITH",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "DR.0074193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbullinger154131@direct.metrohealth.org",
            "affiliation": "N",
            "address_1": "2500 Metrohealth Dr",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441091900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.