Individual provider Active NPI

Alan Puddy, M.D.

  • Orthopaedic Surgery Physician
  • Colorado Springs, CO
National Provider Identifier
1891019972
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
DR.0062917 Issued in CO
Practice address
175 S Union Blvd Ste 310
Colorado Springs, CO 80910-3126
Phone
(719) 365-1950
Fax
(719) 365-1951
NPI assigned
Mar 18, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 26530 NE
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X DR.0062917 CO Primary

Addresses

Primary practice location

175 S Union Blvd Ste 310
Colorado Springs, CO 80910-3126

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-4451

Other identifiers 1

IdentifierTypeStateIssuer
9000218217MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230612001536 CO Practitioner - Orthopedic Surgery 9537303383 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0062917COMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC Multi-Specialty CurrentSince Jul 31, 2023 Accepting new patients
Lutheran Hospital Association of the San Luis Valley Multi-Specialty CurrentSince Oct 1, 2025 Accepting new patients
Poudre Valley Medical Group, LLC Multi-Specialty CurrentSince Jul 31, 2023 Accepting new patients
Lutheran Hospital Association of the San Luis Valley Multi-Specialty CurrentSince Oct 1, 2025 Accepting new patients

Locations

106 Blanca Ave
Alamosa, CO 81101
Phone (719) 589-2511

2115 Stuart Ave
Alamosa, CO 81101
Phone (719) 589-3000

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

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

1370 Interquest Pkwy
Ste 100
Colorado Springs, CO 80921

3843 Rio Vista Dr
Ste 1200
Colorado Springs, CO 80917

175 S Union Blvd
Ste 310
Colorado Springs, CO 80910
Phone (719) 365-6363

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1891019972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071",
            "telephone_number": "970-624-4451",
            "fax_number": "970-490-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S UNION BLVD STE 310",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103126",
            "telephone_number": "719-365-1950",
            "fax_number": "719-365-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUDDY",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-18",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NE",
            "license": "26530",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "DR.0062917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000218217",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.