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Individual provider Active NPI

Jacob Daniel Fassman, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Colorado Springs, CO
National Provider Identifier
1902969090
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD0000793 Issued in CO
Practice address
455 E Pikes Peak Ave Ste 220
Colorado Springs, CO 80903-3673
Phone
(719) 475-8080
Fax
(719) 475-0913
NPI assigned
Dec 19, 2006
Last updated
Jul 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD0000793 CO Primary

Addresses

Primary practice location

455 E Pikes Peak Ave Ste 220
Colorado Springs, CO 80903-3673

Mailing address

455 E Pikes Peak Ave Ste 220
Colorado Springs, CO 80903-3673
Phone (719) 475-8080

Other practice location 1

4105 Briargate Pkwy Ste 235
Colorado Springs, CO 80920-7844
Phone (719) 475-8080

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
I20170830000910 CO Practitioner - Podiatry 8820197106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Center of Southern Colorado PCGroup PAC ID 9739189804, 4 clinicians

Practice addresses (Care Compare)

455 E Pikes Peak Ave
Suite 220
Colorado Springs, CO 80903-3673
Phone 7194758080111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue99
Removal of skin lesions16
Removal of nail tissue369
Removal or shaving of skin growth151
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
POD0000793COMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Center of Southern Colorado PC Foot & Ankle Surgery CurrentSince Aug 1, 2017 Accepting new patients
Mark Schilansky Past Accepting new patients
North Springs ASC PastSince Oct 1, 2025 Accepting new patients

Locations

4105 Briargate Pkwy
Ste 235
Colorado Springs, CO 80920
Phone (719) 375-5400

455 E Pikes Peak Ave
Ste 220
Colorado Springs, CO 80903
Phone (719) 266-5000

Organizations & group practices 3

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1902969090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E PIKES PEAK AVE STE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033673",
            "telephone_number": "719-475-8080",
            "fax_number": "719-475-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E PIKES PEAK AVE STE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033673",
            "telephone_number": "719-475-8080",
            "fax_number": "719-475-0913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4105 Briargate Pkwy Ste 235",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809207844",
            "country_code": "US",
            "telephone_number": "719-475-8080",
            "fax_number": "719-475-0913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FASSMAN",
        "first_name": "JACOB",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "POD0000793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.