Individual provider Active NPI

Patrick Joseph Sniezek, M.D.

  • MOHS-Micrographic Surgery Physician
  • Colorado Springs, CO
National Provider Identifier
1902914658
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
47825 Issued in CO
Practice address
170 Parkside Drive
Colorado Springs, CO 80910-3129
Phone
(719) 471-1763
Fax
(719) 623-2049
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 47825 CO Primary

Addresses

Primary practice location

170 Parkside Drive
Colorado Springs, CO 80910-3129

Mailing address

170 Parkside Drive
Colorado Springs, CO 80910-3129
Phone (719) 471-1763

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090824000356 CO Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 0143374256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)
Education
University of Tennessee, HSC, College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Springs Dermatology Clinic, P.C.Group PAC ID 2264424738, 11 clinicians

Practice addresses (Care Compare)

170 S Parkside Dr
Colorado Springs, CO 80910-3129
Phone (719) 471-1763

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision72
Removal of tissue60
Removal of skin lesions151
Removal of skin cancer980
Removal of nail tissue1-10
Skin biopsy69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47825COMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Springs Dermatology Clinic, P.C. Dermatology CurrentSince Oct 4, 2020 Accepting new patients
Colorado Springs Dermatology Clinic, P.C. Dermatology CurrentSince Jul 20, 2009 Accepting new patients

Locations

1332 Bauer Ln
Canon City, CO 81212
Phone (719) 275-7485

170 S Parkside Dr
Colorado Springs, CO 80910
Phone (719) 471-1763

406 N Main St
Pueblo, CO 81003
Phone (719) 566-0176

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1902914658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 PARKSIDE DRIVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103129",
            "telephone_number": "719-471-1763",
            "fax_number": "719-623-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 PARKSIDE DRIVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103129",
            "telephone_number": "719-471-1763",
            "fax_number": "719-623-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIEZEK",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CO",
            "license": "47825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.