Summit Medical Clinic, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SUMMIT MEDICAL CLINIC, PC

Practice address

1380 E Fillmore St
100
Colorado Springs, CO 80907-6460

Phone

(719) 630-1006

Fax

(719) 630-0688

NPI assigned

Jun 10, 2005

Organization subpart

No

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

Authorized official

Name

Pratheep Arora, M.DNPI 1467475616

Title

President

Phone

(719) 630-1006

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pratheep Arora, M.D.

  • Internal Medicine Physician
  • Colorado Springs, CO
  • NPI 1467475616
  Medicare reassignment Care Compare group NPD Authorized official
• Borghild Darlene Kalford, ANP-C, CNS

  • Adult Health Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1669642971

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Binita Neupane, FNP-BC

  • Family Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1639960388
  Medicare reassignment
• Johane Laporte, MD

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1922002351
  NPD

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1992709653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 E FILLMORE ST",
            "address_2": "100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076460",
            "telephone_number": "719-630-1006",
            "fax_number": "719-630-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 E FILLMORE ST",
            "address_2": "100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076460",
            "telephone_number": "719-630-1006",
            "fax_number": "719-630-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MEDICAL CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "ARORA",
        "authorized_official_first_name": "PRATHEEP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-630-1006",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "0000",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE #",
            "identifier": "CM 5708",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82327076",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summit Dental Care One
• Summit Dermatology, P.C.
• Summit Hearing Aid Center
• Summit Home Health Care Inc
• Summit Integrated Health PLLC
• Summit Nephrology PLLC
• Summit Performance Nutrition LLC
• Summit Physio & Performance, LLC
• Summit Primary Care
• Summit Primary Care

• Internal Medicine Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.