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HOPE INTERNAL MEDICINE OF PUEBLO, PROF LLC
NPI 1184998387
Internal Medicine in Pueblo, CO

Active since March 06, 2012CLIA 06D1046973 · Waiver
728 N ELIZABETH ST, PUEBLO, CO 81003(719) 543-9158(719) 544-1958 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 8, 2022, Sep 24, 2020 (2 updates tracked since 2020).

About Hope Internal Medicine Of Pueblo, Prof Llc NPPES

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

HOPE INTERNAL MEDICINE OF PUEBLO, PROF LLC (NPI 1184998387) is a healthcare organization registered as an internal medicine in Pueblo, Colorado and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through April 1, 2028 and lists Opeymi A Banjoko, Owner, as its authorized official.

NPPES Registry Identity

NPI1184998387
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHOPE INTERNAL MEDICINE OF PUEBLO, PROF LLC
Location Address728 N ELIZABETH STPueblo, CO 81003-2335
Mailing Address728 N Elizabeth StPueblo, CO 81003-2335 · (719) 543-9158 · Fax (719) 544-1958
Phone(719) 543-9158
Fax(719) 544-1958
Organization SubpartNo
Authorized OfficialOpeymi A BanjokoOwner · (719) 543-9158
Enumeration DateMarch 6, 2012
Last NPPES UpdateJuly 8, 20222 updates tracked since enumeration
NPPES CertifiedJuly 8, 2022
✔ NPI 1184998387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CO · 48210
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
728 N ELIZABETH ST, Pueblo, CO 81003
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hope Internal Medicine Of Pueblo, Prof Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Hope Internal Medicine Of Pueblo, Prof LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Opeyemi Banjoko, MD
Internal Medicine
NPI 1134373020
728 N ELIZABETH ST
Pueblo, CO 81003
(719) 543-9158
✔ PECOS✔ Accepts MedicareSame address

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

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 of Waiver 06D1046973

Hope Internal Medicine Of Pueblo Prof LLC · Pueblo, CO
Active · expires Apr 1, 2028
CLIA Number06D1046973
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorDr. Opeyemi Banjoko
Laboratory Phone(719) 543-9158
Laboratory LocationHope Internal Medicine Of Pueblo Prof LLC728 N Elizabeth St, Pueblo, CO 81003
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Hope Internal Medicine Of Pueblo, Prof LLC's NPI number?

The NPI number for Hope Internal Medicine Of Pueblo, Prof LLC is 1184998387. It was assigned to this organization in the NPPES registry on March 6, 2012.

Where is Hope Internal Medicine Of Pueblo, Prof LLC located?

Hope Internal Medicine Of Pueblo, Prof LLC is located at 728 N Elizabeth St, Pueblo, CO 81003. The listed phone number is (719) 543-9158.

What is Hope Internal Medicine Of Pueblo, Prof LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Hope Internal Medicine Of Pueblo, Prof LLC enrolled in Medicare?

Yes. Hope Internal Medicine Of Pueblo, Prof LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hope Internal Medicine Of Pueblo, Prof LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Hope Internal Medicine Of Pueblo, Prof LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hope Internal Medicine Of Pueblo, Prof LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D1046973) is associated with this NPI, valid through April 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hope Internal Medicine Of Pueblo, Prof LLC was last updated on July 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.