Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DAVID JEREMY GANGWISH MD
NPI 1104440999
Urology in Colorado Springs, CO

Active since June 08, 2020PECOS Enrolled
1644 MEDICAL CENTER PT STE 200, COLORADO SPRINGS, CO 80907(719) 634-1994(719) 634-2906 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 29, 2025, Jun 8, 2020 (2 updates tracked since 2020).

About Dr. David Jeremy Gangwish Md NPPES

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

DR. DAVID JEREMY GANGWISH MD (NPI 1104440999) is an individual urology provider in Colorado Springs, Colorado, licensed in Colorado (DR.0077897) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and maintains a secondary practice location in Colorado Springs.

NPPES Registry Identity

NPI1104440999
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. DAVID JEREMY GANGWISHCredential: MD
Location Address1644 MEDICAL CENTER PT STE 200Colorado Springs, CO 80907-5765
Mailing Address1644 Medical Center Pt Ste 200Colorado Springs, CO 80907-5765 · (719) 634-1994 · Fax (719) 634-2906
Fax(719) 634-2906
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2020
Enumeration DateJune 8, 2020
Last NPPES UpdateOctober 21, 20262 updates tracked since enumeration
NPPES CertifiedOctober 21, 2026
✔ NPI 1104440999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in CO · DR.0077897
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1644 MEDICAL CENTER PT STE 200, Colorado Springs, CO 80907

Secondary Practice Location 1

Location 16071 E Woodmen Rd Ste 300Colorado Springs, CO 80923-2613 · Phone (719) 531-7007 · Fax (719) 531-7122

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. David Jeremy Gangwish Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446672109
PECOS Enrollment IDI20250806004002
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show David Gangwish reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urology
6071 E WOODMEN RD STE 300
Colorado Springs, CO 80923
  • Reassigned Medicare billing, Colorado enrollment
  • 20 clinicians in this Medicare group
Orthopaedic Surgery
9385 S SNOWBIRD CENTER DR
Sandy, UT 84092
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80907 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1644 MEDICAL CENTER PT STE 200
COLORADO SPRINGS, CO 80907
Urology
1644 MEDICAL CENTER PT STE 200
COLORADO SPRINGS, CO 80907
Urology
1644 MEDICAL CENTER PT STE 200
COLORADO SPRINGS, CO 80907
Urology
1644 MEDICAL CENTER PT STE 200
COLORADO SPRINGS, CO 80907
Nurse Practitioner (Adult Health)
1644 MEDICAL CENTER PT STE 200
COLORADO SPRINGS, CO 80907
Physician Assistant
1644 MEDICAL CENTER PT STE 200
COLORADO SPRINGS, CO 80907
Physician Assistant
1644 MEDICAL CENTER PT STE 200
COLORADO SPRINGS, CO 80907
Urology
1644 MEDICAL CENTER PT STE 200
COLORADO SPRINGS, CO 80907

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 David Gangwish's NPI number?

The NPI number for David Gangwish is 1104440999. It was assigned to this individual provider in the NPPES registry on June 8, 2020.

Where is David Gangwish located?

David Gangwish practices at 1644 Medical Center Pt Ste 200, Colorado Springs, CO 80907. The listed phone number is (719) 634-1994.

What is David Gangwish's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is David Gangwish enrolled in Medicare?

Yes. David Gangwish is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for David Gangwish's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Gangwish reassigns Medicare benefits to 2 organizations: Colorado Springs Urological Associates LLC (Colorado Springs, CO) and University Of Utah Adult Services (Sandy, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Gangwish's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Gangwish accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list David Gangwish as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is David Gangwish affiliated with any hospitals?

According to CMS data, David Gangwish is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for David Gangwish was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.