Individual provider Active NPI

Colten Smouse, DO

  • Family Medicine Physician
  • Springfield, CO
National Provider Identifier
1972009116
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0066584 Issued in CO
Practice address
900 Church St
Springfield, CO 81073-1636
Phone
(719) 523-6628
NPI assigned
Apr 5, 2018
Last updated
Jul 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0066584 CO Primary

Addresses

Primary practice location

900 Church St
Springfield, CO 81073-1636

Mailing address

373 E 10TH Ave
Springfield, CO 81073-1699
Phone (719) 523-6628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20260225003329 KY Practitioner - Family Practice 0840545901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1019 Commerce Pkwy
La Grange, KY 40031-8779
Phone (502) 225-9098

373 E 10TH Ave
Springfield, CO 81073-1622
Phone (719) 523-2125

900 Church St
Springfield, CO 81073-1636
Phone (719) 523-2125

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
36.1 of 100Reported as group
Quality
57.82
Improvement activities
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Colorado Hospital District CurrentSince Aug 1, 2021 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Feb 13, 2026 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Feb 13, 2026 Accepting new patients
Southeast Colorado Hospital District Past Accepting new patients
Southeast Colorado Hospital District - Facility Past Accepting new patients
Southeast Colorado Hospital District Past Accepting new patients

Locations

373 E 10th Ave
Springfield, CO 81073
Phone (719) 523-4501

900 Church St
Springfield, CO 81073
Phone (719) 523-6221

1019 Commerce Pkwy
Lagrange, KY 40031
Phone (502) 225-9098

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14274/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/68fd0d26-06fa-4584-8f6d-b42cfd864525/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Southeast Colorado Hospital DistrictSpringfield, CO, CCN 061530 Hospice Corporate Director Aug 17, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 8

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

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1972009116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 E 10TH AVE",
            "city": "SPRINGFIELD",
            "state": "CO",
            "postal_code": "810731699",
            "telephone_number": "719-523-6628",
            "fax_number": "719-523-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CHURCH ST",
            "city": "SPRINGFIELD",
            "state": "CO",
            "postal_code": "810731636",
            "telephone_number": "719-523-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOUSE",
        "first_name": "COLTEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-05",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0066584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, CO

Sources for this page

Verify at the official NPI Registry.