DAVITA MEDICAL GROUP
NPI 1205359155
Durable Medical Equipment & Medical Supplies in Colorado Springs, CO

Active since July 24, 2017
1633 MEDICAL CENTER PT, COLORADO SPRINGS, CO 80907(719) 636-2999 Get Directions Write a Review

NPPES record last updated: July 24, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Durable Medical Equipment & Medical Supp...

About DAVITA MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Davita Medical Group, a provider established in Colorado Springs, Colorado operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1205359155 assigned on July 2017. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Davita Medical Group. The authorized official of this NPI record is Vijay Kotte (Treasurer)

NPI
1205359155 Verify this NPI
Provider Legal Name
DAVITA MEDICAL GROUP COLORADO SPRINGS, LLC
Other Organization Name
DAVITA MEDICAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1633 MEDICAL CENTER PT COLORADO SPRINGS, CO 80907
Location Phone
(719) 636-2999
Mailing Address
2 S CASCADE AVE STE 140 COLORADO SPRINGS, CO 80903
Mailing Phone
(719) 866-6571
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-24-2017
Last Update Date
07-24-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

VIJAY KOTTE

Authorized Official Title
TREASURER
Authorized Official Phone
(303) 876-6457

Reviews for DAVITA MEDICAL GROUP

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Surgery
1633 MEDICAL CENTER PT
COLORADO SPRINGS, CO 80907
Internal Medicine (Cardiovascular Disease)
1633 MEDICAL CENTER PT, SUITE 183
COLORADO SPRINGS, CO 80907
Social Worker (Clinical)
1633 MEDICAL CENTER PT, #253
COLORADO SPRINGS, CO 80907
Physical Medicine & Rehabilitation
1633 MEDICAL CENTER PT, SUITE 123
COLORADO SPRINGS, CO 80907
Counselor (Professional)
1633 MEDICAL CENTER PT, SUITE 253
COLORADO SPRINGS, CO 80907
Counselor (Professional)
1633 MEDICAL CENTER PT, STE 253
COLORADO SPRINGS, CO 80907
Community/Behavioral Health
1633 MEDICAL CENTER PT
COLORADO SPRINGS, CO 80907
Surgery
1633 MEDICAL CENTER PT
COLORADO SPRINGS, CO 80907
Pharmacy (Community/Retail Pharmacy)
1633 MEDICAL CENTER PT
COLORADO SPRINGS, CO 80907
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1633 MEDICAL CENTER PT
COLORADO SPRINGS, CO 80907
Nurse Practitioner (Adult Health)
1633 MEDICAL CENTER PT
COLORADO SPRINGS, CO 80907
Orthopaedic Surgery
1633 MEDICAL CENTER PT
COLORADO SPRINGS, CO 80907
Radiology (Diagnostic Radiology)
1633 MEDICAL CENTER PT, SUITE 3950
COLORADO SPRINGS, CO 80907
Emergency Medicine
1633 MEDICAL CENTER PT
COLORADO SPRINGS, CO 80907
Registered Nurse (Case Management)
1633 MEDICAL CENTER PT
COLORADO SPRINGS, CO 80907
Physician Assistant
1633 MEDICAL CENTER PT
COLORADO SPRINGS, CO 80907
Physician Assistant
1633 MEDICAL CENTER PT
COLORADO SPRINGS, CO 80907
Nurse Practitioner (Family)
1633 MEDICAL CENTER PT
COLORADO SPRINGS, CO 80907
Nurse Practitioner (Family)
1633 MEDICAL CENTER PT
COLORADO SPRINGS, CO 80907
Physician Assistant
1633 MEDICAL CENTER PT
COLORADO SPRINGS, CO 80907

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205359155, enumerated as an "organization" on July 24, 2017.

The provider is located at 1633 MEDICAL CENTER PT COLORADO SPRINGS, CO 80907 and the phone number is (719) 636-2999.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.