Active NPI
Timothy Arthur Marean, M.D.
- Pediatrics Physician
- Fort Carson, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- DR.0050843
- Practice address
- 1650 Cochrane Cir Unit Meddac
Fort Carson, CO 80913-4604 - Phone
- (719) 526-7653
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | DR.0050843 | CO | Primary |
Addresses
Primary practice location
1650 Cochrane Cir Unit Meddac
Fort Carson, CO 80913-4604
Mailing address
1650 Cochrane Cir
Fort Carson, CO 80913-4613
Phone (719) 526-7653
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1992
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3205 N Academy Blvd
Suite 130
Colorado Spirngs, CO 80917-5147
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Vista Community Health Centers | Current | Accepting new patients | |
| Peak Vista Community Health Centers | Current | Accepting new patients | |
| Peak Vista Community Health Centers | Past | Accepting new patients | |
| Evans Army Community Hospital | Past | Accepting new patients |
Locations
1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120
3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873
350 Lyckman Pl
Fountain, CO 80817
Phone (719) 322-0777
Interoperability endpoints
- timothy.marean.p1@direct.peakvista.nextgenshare.com
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.
-
- Federally Qualified Health Center (FQHC)
- Colorado Springs, CO
- NPI 1730166034
-
- Federally Qualified Health Center (FQHC)
- Colorado Springs, CO
- NPI 1871347443
-
- Clinical Social Worker
- Ft Carson, CO
- NPI 1164496873
-
- Federally Qualified Health Center (FQHC)
- Colorado Springs, CO
- NPI 1124321880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1902874050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 COCHRANE CIR",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "809134613",
"telephone_number": "719-526-7653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 COCHRANE CIR UNIT MEDDAC",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "809134604",
"telephone_number": "719-526-7653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAREAN",
"first_name": "TIMOTHY",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2025-03-07",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "DR.0050843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Carson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.