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PIKES PEAK NEPHROLOGY ASSOCIATES PC
NPI 1114527967
Internal Medicine - Nephrology in Colorado Springs, CO

Active since October 30, 2020CLIA 06D0517601 · Microscopy
6071 E WOODMEN RD, COLORADO SPRINGS, CO 80923(719) 638-1223 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pikes Peak Nephrology Associates Pc NPPES

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

PIKES PEAK NEPHROLOGY ASSOCIATES PC (NPI 1114527967) is a healthcare organization registered as a nephrology in Colorado Springs, Colorado and active in the NPI registry since October 2020. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Jeanine I Pittman, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1114527967
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NamePIKES PEAK NEPHROLOGY ASSOCIATES PC
Location Address6071 E WOODMEN RDColorado Springs, CO 80923-2607
Mailing Address1914 Lelaray StColorado Springs, CO 80909-2800 · (719) 632-7641 · Fax (719) 632-2925
Phone(719) 638-1223
Organization SubpartNo
Authorized OfficialJeanine I PittmanPractice Administrator · (719) 632-7641
Enumeration DateOctober 30, 2020
NPPES CertifiedOctober 27, 2020
✔ NPI 1114527967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
6071 E WOODMEN RD, Colorado Springs, CO 80923
Open in Google Maps ↗

Other Identifiers 1

Medicaid04850046CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 06D0517601

Pikes Peak Nephrology Associates PC · Colorado Springs, CO
Active · expires Aug 31, 2026
CLIA Number06D0517601
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Jesse A. Flaxenburg
Laboratory Phone(719) 632-7641
Laboratory LocationPikes Peak Nephrology Associates PC1914-1918 Lelaray St, Colorado Springs, CO 80909
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

DR. KEVIN PAUL WEARY MD
Obstetrics & Gynecology
6071 E WOODMEN RD, SUITE 405
COLORADO SPRINGS, CO 80923
El Paso County (719) 442-0808
DR. MEREDITH S. CASSIDY MD
Obstetrics & Gynecology
6071 E WOODMEN RD, SUITE 405
COLORADO SPRINGS, CO 80923
El Paso County (719) 442-0808
DR. ANDREA TAPP D'ADDARIO D.M.D.
Dentist
6071 E WOODMEN RD, STE 200
COLORADO SPRINGS, CO 80923
El Paso County (719) 638-7673
DR. GARY WILLIAM BONG MD
Urology
6071 E WOODMEN RD, SUITE 300
COLORADO SPRINGS, CO 80923
El Paso County (719) 531-7007
DR. MELISSA ANNE TADA OPTOMETRIST
Optometrist
6071 E WOODMEN RD, SUITE 205
COLORADO SPRINGS, CO 80923
El Paso County (719) 380-6808
DR. RICHARD ALLAN WALSH III MD
Urology
6071 E WOODMEN RD, SUITE 300
COLORADO SPRINGS, CO 80923
El Paso County (719) 531-7007
SCOTT W MATTSSON MD
Surgery
6071 E WOODMEN RD, SUITE 340
COLORADO SPRINGS, CO 80923
El Paso County (719) 591-8100
UNIVERSITY PERINATAL CONSULTANTS, PLLC
Obstetrics & Gynecology (Maternal & Fetal Medicine)
6071 E WOODMEN RD, SUITE 440
COLORADO SPRINGS, CO 80923
El Paso County (719) 622-6446

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 Pikes Peak Nephrology Associates PC's NPI number?

The NPI number for Pikes Peak Nephrology Associates PC is 1114527967. It was assigned to this organization in the NPPES registry on October 30, 2020.

Where is Pikes Peak Nephrology Associates PC located?

Pikes Peak Nephrology Associates PC is located at 6071 E Woodmen Rd, Colorado Springs, CO 80923. The listed phone number is (719) 638-1223.

What is Pikes Peak Nephrology Associates PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Pikes Peak Nephrology Associates PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D0517601) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pikes Peak Nephrology Associates PC was last updated on October 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.