NORTHSTAR NEUROLOGY OF COLORADO SPRINGS PC
NPI 1194340414
Psychiatry & Neurology - Neurology in Colorado Springs, CO

Q: What is Northstar Neurology Of Colorado Springs PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since June 11, 2020

3920 N UNION BLVD STE 150, COLORADO SPRINGS, CO 80907(719) 694-3595(719) 493-9936 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 21, 2021, Oct 7, 2020, Sep 14, 2020 and 2 more (5 updates tracked since 2020).

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About Northstar Neurology Of Colorado Springs Pc NPPES

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

NORTHSTAR NEUROLOGY OF COLORADO SPRINGS PC (NPI 1194340414) is a healthcare organization registered as a neurology in Colorado Springs, Colorado and active in the NPI registry since June 2020. The organization lists Aparna Komatineni, Md, as its authorized official.

NPPES Registry Identity

NPI1194340414

Entity TypeOrganization

Primary Taxonomy2084N0400X

Legal Business NameNORTHSTAR NEUROLOGY OF COLORADO SPRINGS PC

Location Address3920 N UNION BLVD STE 150Colorado Springs, CO 80907-1907

Mailing AddressPo Box 38670Colorado Springs, CO 80937-8670 · (719) 694-3595 · Fax (719) 493-9936

Phone(719) 694-3595

Fax(719) 493-9936

Organization SubpartNo

Authorized OfficialAparna KomatineniMd · (719) 694-3595

Enumeration DateJune 11, 2020

Last NPPES UpdateSeptember 18, 20235 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2023

✔ NPI 1194340414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

3920 N UNION BLVD STE 150, Colorado Springs, CO 80907

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Northstar Neurology Of Colorado Springs Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Northstar Neurology Of Colorado Springs PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Aparna Komatineni, M.D

Neurology

NPI 1992826424

3920 N UNION BLVD STE 150
Colorado Springs, CO 80907

(719) 694-3595

✔ PECOS✔ Accepts MedicareSame address

Mary Avila, NP

Nurse Practitioner

NPI 1013720853

3920 N UNION BLVD STE 150
Colorado Springs, CO 80907

(719) 694-3595

✔ PECOS✔ Accepts MedicareSame address

Dongkwan Jin, MD

Neurology

NPI 1508310111

3920 N UNION BLVD STE 150
Colorado Springs, CO 80907

(719) 694-3595

✔ 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.

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 Northstar Neurology Of Colorado Springs PC's NPI number?

The NPI number for Northstar Neurology Of Colorado Springs PC is 1194340414. It was assigned to this organization in the NPPES registry on June 11, 2020.

Where is Northstar Neurology Of Colorado Springs PC located?

Northstar Neurology Of Colorado Springs PC is located at 3920 N Union Blvd Ste 150, Colorado Springs, CO 80907. The listed phone number is (719) 694-3595.

What is Northstar Neurology Of Colorado Springs PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Northstar Neurology Of Colorado Springs PC enrolled in Medicare?

Yes. Northstar Neurology Of Colorado Springs PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northstar Neurology Of Colorado Springs PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Northstar Neurology Of Colorado Springs PC, in Neurology and Nurse Practitioner. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northstar Neurology Of Colorado Springs PC was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.