Individual provider Active NPI

Khrystyl Angelique Davis Pepi, M.D.

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1982925988
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0055769 Issued in CO
Practice address
3470 Centennial Blvd
Suite 205
Colorado Springs, CO 80907-4090
Phone
(719) 598-4588
Fax
(719) 594-4067
NPI assigned
Jun 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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 47116 AZ
Family Medicine Physician 207Q00000X DR.0055769 CO Primary

Addresses

Primary practice location

3470 Centennial Blvd
Suite 205
Colorado Springs, CO 80907-4090

Mailing address

3470 Centennial Blvd
Suite 205
Colorado Springs, CO 80907-4090
Phone (719) 598-4588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160321000511 CO Practitioner - Family Practice 2466759360 Reassigns benefits to 1 organization
I20251117003315 DC Practitioner - Family Practice 2466759360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy of Colorado Springs LPGroup PAC ID 3971498197, shared by 2 NPIs, 84 clinicians
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

5825 Delmonico Dr
Colorado Springs, CO 80919-2243
Phone (719) 257-4240

6020 Richmond Hwy
Suite 102
Alexandria, VA 22303-2157
Phone (301) 701-6060

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47116AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Colorado Medical Group LLC CurrentSince Feb 1, 2020 Accepting new patients
Privia Medical Group, LLC Family Medicine CurrentSince Oct 4, 2025 Accepting new patients
Privia Care Center LLC CurrentSince Dec 24, 2025 Accepting new patients
Privia Care Center LLC CurrentSince Dec 24, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 4, 2025 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Feb 1, 2020 Accepting new patients
Nova Physician Wellness Center PLLC Family Medicine Past Accepting new patients

Locations

1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148

8890 N Union Blvd
Ste 220
Colorado Springs, CO 80920
Phone (719) 574-9191

3470 Centennial Blvd
Ste 205
Colorado Springs, CO 80907
Phone (719) 598-4588

8890 N Union Blvd
Ste 200
Colorado Springs, CO 80920
Phone (719) 548-0700

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

5530 Wisconsin Ave
Ste 103
Chevy Chase, MD 20815
Phone (303) 701-6080

5450 Knoll North Dr
Ste 180
Columbia, MD 21045
Phone (410) 730-7040

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

6020 Richmond Hwy
Alexandria, VA 22303
Phone (571) 308-6776

6020 Richmond Hwy
Ste 102
Alexandria, VA 22303
Phone (267) 978-1993

12011 Route 50
Ste 102
Fairfax, VA 22033
Phone (703) 385-8378

513 W Broad St
Ste 100
Falls Church, VA 22046
Phone (703) 532-3773

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1982925988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 CENTENNIAL BLVD",
            "address_2": "SUITE 205",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074090",
            "telephone_number": "719-598-4588",
            "fax_number": "719-594-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 CENTENNIAL BLVD",
            "address_2": "SUITE 205",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074090",
            "telephone_number": "719-598-4588",
            "fax_number": "719-594-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPI",
        "first_name": "KHRYSTYL",
        "middle_name": "ANGELIQUE DAVIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "47116",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0055769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.