NPIMap

Individual provider Active NPI

Timothy Edison Coleman, MD

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1962473165
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0048752 Issued in CO
Practice address
1263 Lake Plaza Dr Ste 230
Colorado Springs, CO 80906-3512
Phone
(719) 776-3300
Fax
(719) 776-3329
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35. 074022 OH
Family Medicine Physician 207Q00000X DR.0048752 CO Primary

Addresses

Primary practice location

1263 Lake Plaza Dr Ste 230
Colorado Springs, CO 80906-3512

Mailing address

PO Box 800022
Kansas City, MO 64180-0022
Phone (800) 953-0104

Other identifiers 2

IdentifierTypeStateIssuer
2126283MedicaidOH
32403861MedicaidCO

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
I20111219000955 CO Practitioner - Family Practice 7214102391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northeastern Ohio University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2695 Rocky Mountain Ave
Suite 150
Loveland, CO 80538-8702

2695 Rocky Mountain Ave
Suite 150
Loveland, CO 80538-9071

9100 E Mineral Cir
Centennial, CO 80112-3401

Hospital & facility affiliations

  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031
  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022
  • St Francis Hospital - Interquest Hospital, Colorado Springs, CO, CCN 060133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35. 074022OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince Nov 1, 2022 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Matthews-Vu Medical Group, P.C. Current Accepting new patients
Uch-MHS CurrentSince Dec 19, 2012 Accepting new patients
Matthews-Vu Medical Group, P.C. CurrentSince Apr 1, 2018 Accepting new patients
Matthews-Vu Medical Group, P.C. Family Medicine CurrentSince Apr 1, 2018 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Nov 1, 2022 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Uch-MHS Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

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

1263 Lake Plaza Dr
Ste 230
Colorado Springs, CO 80906
Phone (719) 345-1047

104 Pro Rodeo Dr
Ste 100
Colorado Springs, CO 80919
Phone (719) 522-0707

2767 Janitell Rd
Colorado Springs, CO 80906
Phone (719) 365-2888

1715 N Weber St
Ste 120
Colorado Springs, CO 80907
Phone (719) 471-8855

4190 E Woodmen Rd
Ste 100
Colorado Springs, CO 80920
Phone (630) 364-4851

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Organizations & group practices 9

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.

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1962473165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800022",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641800022",
            "telephone_number": "800-953-0104",
            "fax_number": "303-765-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 LAKE PLAZA DR STE 230",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063512",
            "telephone_number": "719-776-3300",
            "fax_number": "719-776-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "TIMOTHY",
        "middle_name": "EDISON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35. 074022",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0048752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2126283",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32403861",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.