NPIMap

Individual provider Active NPI

Jenny D. Allard, M.D.

  • Internal Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1871606772
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
44949 Issued in CO
Practice address
175 S Union Blvd
Suite 350
Colorado Springs, CO 80910-3113
Phone
(719) 633-5515
Fax
(719) 471-2258
NPI assigned
Aug 16, 2006
Last updated
Jun 3, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 44949 CO Primary

Addresses

Primary practice location

175 S Union Blvd
Suite 350
Colorado Springs, CO 80910-3113

Mailing address

175 S Union Blvd
Suite 350
Colorado Springs, CO 80910-3113
Phone (719) 633-5515

Other identifiers 1

IdentifierTypeStateIssuer
41634560MedicaidCO

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
I20061023000310 CO Practitioner - Internal Medicine 7315944063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Colorado School of Medicine, Denver, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

175 S Union Blvd
Suite 350 Uchealth Inter Med Clinic Printe
Colorado Springs, CO 80910-3146
Phone (719) 633-5515

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44949COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Nov 6, 2017 Accepting new patients

Locations

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

175 S Union Blvd
Ste 240
Colorado Springs, CO 80910
Phone (719) 365-6300

175 S Union Blvd
Ste 350
Colorado Springs, CO 80910
Phone (719) 633-5515

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

Organizations & group practices 2

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 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1871606772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S UNION BLVD",
            "address_2": "SUITE 350",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103113",
            "telephone_number": "719-633-5515",
            "fax_number": "719-471-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S UNION BLVD",
            "address_2": "SUITE 350",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103113",
            "telephone_number": "719-633-5515",
            "fax_number": "719-471-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLARD",
        "first_name": "JENNY",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "44949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41634560",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.