Individual provider Active NPI

Peter Michael Klara, M.D., PH.D.

  • Neurological Surgery Physician
  • Colorado Springs, CO
National Provider Identifier
1871534644
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
DR.0052963 Issued in CO
Practice address
2222 N Nevada Ave Ste 5001
Colorado Springs, CO 80907-6865
Phone
(719) 776-3580
Fax
(719) 776-3599
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD00000239247 TN
Neurological Surgery Physician 207T00000X 036-087965 IL
Neurological Surgery Physician 207T00000X DR.0052963 CO Primary

Addresses

Primary practice location

2222 N Nevada Ave Ste 5001
Colorado Springs, CO 80907-6865

Mailing address

2222 N Nevada Ave Ste 5001
Colorado Springs, CO 80907-6865
Phone (719) 776-3580

Other identifiers 2

IdentifierTypeStateIssuer
39865OtherIAIOWA BOARD OF MEDICINE
4155807OtherTNBLUE CROSS HMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-087965ILMDNeurological Surgery Physician
MD00000239247TNMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peter M. Klara, M.D., PC Neurological Surgery PastSince Apr 18, 2006 Accepting new patients

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1871534644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 N NEVADA AVE STE 5001",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076865",
            "telephone_number": "719-776-3580",
            "fax_number": "719-776-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N NEVADA AVE STE 5001",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076865",
            "telephone_number": "719-776-3580",
            "fax_number": "719-776-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLARA",
        "first_name": "PETER",
        "middle_name": "MICHAEL",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TN",
            "license": "MD00000239247",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036-087965",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CO",
            "license": "DR.0052963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA BOARD OF MEDICINE",
            "identifier": "39865",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS HMA",
            "identifier": "4155807",
            "state": "TN"
        }
    ],
    "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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.