Individual provider Active NPI

Paul David Sherry, M.D.

  • Cardiovascular Disease Physician
  • Colorado Springs, CO
National Provider Identifier
1962407502
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
29446 Issued in CO
Practice address
6011 E Woodmen Rd Ste 105
Colorado Springs, CO 80923-2603
Phone
(719) 571-8600
Fax
(719) 884-2898
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 29446 CO Primary

Addresses

Primary practice location

6011 E Woodmen Rd Ste 105
Colorado Springs, CO 80923-2603

Mailing address

6011 E Woodmen Rd Ste 105
Colorado Springs, CO 80923-2603
Phone (719) 571-8600

Other identifiers 1

IdentifierTypeStateIssuer
01294461MedicaidCO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051118000111 CO Practitioner - Cardiovascular Disease (Cardiology) 4284653221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29446COMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CS Cardiology Newco LLC Cardiovascular Disease CurrentSince Oct 15, 2023 Accepting new patients
CS Cardiology Newco LLC Cardiovascular Disease CurrentSince Oct 15, 2023 Accepting new patients
Colorado Springs Cardiologists, P.C. Cardiovascular Disease Past Accepting new patients
Pikes Peak Cardiology a Professional LLP Past Accepting new patients
Parkside Cardiology LLC Cardiovascular Disease Past Accepting new patients
CTMD LLC Dba Parkside Heart Care Past Accepting new patients
CS Cardiology Newco LLC Cardiovascular Disease Past Accepting new patients
CS Cardiology Newco LLC Cardiovascular Disease Past Accepting new patients

Locations

1625 Medical Center Pt
Ste 200
Colorado Springs, CO 80907
Phone (719) 630-3276

1625 Medical Center Pt
Ste 210
Colorado Springs, CO 80907
Phone (708) 289-4757

2222 N Nevada Ave
Ste 4007
Colorado Springs, CO 80907
Phone (719) 634-6671

904 E Hailey Ln
Ste C
Pueblo West, CO 81007

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1962407502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 E WOODMEN RD STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232603",
            "telephone_number": "719-571-8600",
            "fax_number": "719-884-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 E WOODMEN RD STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232603",
            "telephone_number": "719-571-8600",
            "fax_number": "719-884-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRY",
        "first_name": "PAUL",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "29446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01294461",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.