NPIMap

Individual provider Active NPI

Janice C Raley, MD

  • Obstetrics & Gynecology Physician
  • Colorado Springs, CO
National Provider Identifier
1861499428
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
42336 Issued in CO
Practice address
175 S Union Blvd
Ste 220
Colorado Springs, CO 80910-3147
Phone
(719) 634-1532
Fax
(719) 634-1715
NPI assigned
Jun 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 42336 CO Primary

Addresses

Primary practice location

175 S Union Blvd
Ste 220
Colorado Springs, CO 80910-3147

Mailing address

175 S Union Blvd
Ste 220
Colorado Springs, CO 80910-3147
Phone (719) 634-1532

Other identifiers 1

IdentifierTypeStateIssuer
37503561MedicaidCO

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
I20040617000440 CO Practitioner - Obstetrics/Gynecology 8729062617 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Iowa, RJ & L Carver College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1400 E Boulder
Suite 2410 Pre Procedure Memorial
Colorado Springs, CO 80909-5533
Phone (719) 365-6525

1400 E Boulder St
Colorado Springs, CO 80909-5533

175 S Union Blvd
Colorado Springs, CO 80910-3147

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42336COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Nov 7, 2016 Accepting new patients
Obhg Colorado, P.C. Obstetrics & Gynecology CurrentSince Oct 1, 2024 Accepting new patients
Poudre Valley Medical Group, LLC Obstetrics & Gynecology CurrentSince Nov 7, 2016 Accepting new patients
Uch-MHS Past Accepting new patients
Obhg Colorado, P.C. Obstetrics & Gynecology Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

4050 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 364-5000

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

175 S Union Blvd
Ste 220
Colorado Springs, CO 80910
Phone (719) 364-1532

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

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 and National Provider Directory roles.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1861499428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S UNION BLVD",
            "address_2": "STE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103147",
            "telephone_number": "719-634-1532",
            "fax_number": "719-634-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S UNION BLVD",
            "address_2": "STE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103147",
            "telephone_number": "719-634-1532",
            "fax_number": "719-634-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALEY",
        "first_name": "JANICE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "42336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37503561",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.