Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PRESTIGE PEAK MEDICAL
NPI 1033043914
Clinic/Center - Primary Care in Pueblo, CO

Active since June 09, 2026
2445 S PRAIRIE AVE, PUEBLO, CO 81005(719) 877-1391 Get Directions Write a Review

NPPES record added: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 11, 2026, Aug 5, 2026, Jul 10, 2026 (3 updates tracked since 2026).

About Prestige Peak Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRESTIGE PEAK MEDICAL (NPI 1033043914) is a healthcare organization registered as a primary care in Pueblo, Colorado and active in the NPI registry since June 2026. The organization lists Angela Marie Perides, Owner, as its authorized official.

NPPES Registry Identity

NPI1033043914
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePRESTIGE PEAK MEDICAL
Location Address2445 S PRAIRIE AVEPueblo, CO 81005-2886
Mailing Address2445 S Prairie AvePueblo, CO 81005-2886 · (719) 877-1391
Organization SubpartNo
Authorized OfficialAngela Marie PeridesOwner · (719) 877-1391
Enumeration DateJune 9, 2026
Last NPPES UpdateAugust 11, 20263 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
NPI 1033043914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
2445 S PRAIRIE AVE, Pueblo, CO 81005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prestige Peak Medical's NPI number?

The NPI number for Prestige Peak Medical is 1033043914. It was assigned to this organization in the NPPES registry on June 9, 2026.

Where is Prestige Peak Medical located?

Prestige Peak Medical is located at 2445 S Prairie Ave, Pueblo, CO 81005. The listed phone number is (719) 877-1391.

What is Prestige Peak Medical's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Prestige Peak Medical was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.