NPIMap

Individual provider Active NPI

Matthew Stephen Angelidis, MD

  • Emergency Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1912057647
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
CDPH.0052821 Issued in CO
Practice address
1400 E Boulder St
Colorado Springs, CO 80909-5533
Phone
(719) 365-6820
NPI assigned
Jan 12, 2007
Last updated
Apr 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X CDPH.0052821 CO Primary

Addresses

Primary practice location

1400 E Boulder St
Colorado Springs, CO 80909-5533

Mailing address

PO Box 173891
Denver, CO 80217-3891
Phone (877) 346-2211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MI, KS3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20131010001256 CO Practitioner - Emergency Medicine 0840486437 Reassigns benefits to 1 organization
I20240213001518 MI Practitioner - Emergency Medicine 0840486437 Reassigns benefits to 2 organizations
I20240313002645 KS Practitioner - Emergency Medicine 0840486437 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Uniformed Services Uhs Fe Hebert School of Med, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Ironwood Hospital and Clinics IncGroup PAC ID 9032013198, shared by 5 NPIs, 165 clinicians

Practice addresses (Care Compare)

1400 E Boulder St
Colorado Springs, CO 80909-5533

4050 Briargate Pkwy
Colorado Springs, CO 80920-7815
Phone (719) 364-5000

N10561 Grandview LN
Ironwood, MI 49938-9622
Phone (906) 932-2525

N10561 Granview LN
Grand View Hospital
Ironwood, MI 49938-9622
Phone (906) 932-2525

N10565 Grand View Lane
Ironwood, MI 49938-9622

N10565 Grandview Lane
Ironwood, MI 49938-9622

N10565 Grandview LN Aspirus Ironwood
Ironwood, MI 49938-9622
Phone (715) 843-1067

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as group
Quality
94.16
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as group
Quality
89.76
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.42 of 100Reported as group
Quality
73.87
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CDPH.0052821COMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medical Specialists, PC Emergency Medicine CurrentSince Aug 1, 2017 Accepting new patients
Emergency Medical Specialists, PC Emergency Medicine CurrentSince Aug 1, 2017 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Feb 7, 2024 Accepting new patients
Saint Lukes Hospital of Garnett Inc CurrentSince Jul 1, 2025 Accepting new patients
Saint Lukes Hospital of Garnett Inc CurrentSince Mar 1, 2024 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Feb 7, 2024 Accepting new patients
Saint Lukes Hospital of Garnett Inc CurrentSince Mar 1, 2024 Accepting new patients
Saint Luke's Hospital of Allen County, Inc CurrentSince May 1, 2024 Accepting new patients
Saint Luke's Hospital of Allen County, Inc CurrentSince May 1, 2024 Accepting new patients
Advanced Pediatric Specialists LLC Past Accepting new patients
Georgia Emergency Associates Emergency Medicine Past Accepting new patients

Locations

13510 Meadowgrass Dr
Colorado Springs, CO 80921
Phone (719) 364-7010

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

2770 N Powers Blvd
Colorado Springs, CO 80922
Phone (719) 638-3000

3790 E Woodmen Rd
Colorado Springs, CO 80920
Phone (719) 264-5080

4050 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 364-5000

5623 Pulpit Peak Vw
Colorado Springs, CO 80918
Phone (719) 272-3600

7890 Fountain Mesa Rd
Fountain, CO 80817
Phone (719) 390-2680

16420 W US Highway 24
Woodland Park, CO 80863
Phone (719) 632-5020

29980 Network Pl
Chicago, IL 60673

421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105

3066 N Kentucky St
Iola, KS 66749
Phone (620) 365-1000

1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121

Interoperability endpoints

  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

Organizations & group practices 11

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1912057647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173891",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802173891",
            "telephone_number": "877-346-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E BOULDER ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095533",
            "telephone_number": "719-365-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELIDIS",
        "first_name": "MATTHEW",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "CDPH.0052821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.