NPIMap

Organization Active NPI

Infectious Disease Specialists PC

  • Infectious Disease Physician
  • Colorado Springs, CO
National Provider Identifier
1952301202
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
INFECTIOUS DISEASE SPECIALISTS PC
Practice address
3230 E Woodmen Rd
Suite 210
Colorado Springs, CO 80920
Phone
(719) 578-5176
Fax
(719) 578-5188
NPI assigned
Jul 28, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Susan Ogden
Title
Practice Administrator
Phone
(719) 578-5176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X CO Primary

Addresses

Primary practice location

3230 E Woodmen Rd
Suite 210
Colorado Springs, CO 80920

Mailing address

3230 E Woodmen Rd
Suite 210
Colorado Springs, CO 80920
Phone (719) 578-5176

Other identifiers 4

IdentifierTypeStateIssuer
CG7556OtherCORAIL ROAD MEDICARE
607027OtherCOBLUE CROSS
04016804MedicaidCO
2432037OtherCOAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040916001255 CO Part B Supplier - Clinic/Group Practice 6901874098 Receives reassigned benefits from 6 practitioners
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

721 N Tejon St
Colorado Spgs, CO 80903
Phone (719) 578-5176

3230 E Woodmen Rd
Ste 210
Colorado Springs, CO 80920
Phone (719) 578-5176

Interoperability endpoints

  • Direct secure messaging: elizabeth.kleiner@corhio.medicity.net
  • Direct secure messaging: peter.brookmeyer@corhio.medicity.net
  • Direct secure messaging: robert.gates@corhio.medicity.net
  • Direct secure messaging: robert.weber@corhio.medicity.net
  • Direct secure messaging: thomas.hackenberg@corhio.medicity.net

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1952301202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 E WOODMEN RD",
            "address_2": "SUITE 210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80920",
            "telephone_number": "719-578-5176",
            "fax_number": "719-578-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 E WOODMEN RD",
            "address_2": "SUITE 210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80920",
            "telephone_number": "719-578-5176",
            "fax_number": "719-578-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OGDEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "719-578-5176",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CG7556",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "607027",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04016804",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2432037",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.