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DR. SIPA PRABHA PATEL D.O.
NPI 1245511344
Family Medicine in Colorado Springs, CO

Active since September 01, 2011PECOS EnrolledAccepts Medicare Assignment
1263 LAKE PLAZA DR, COLORADO SPRINGS, CO 80906(719) 776-3300(719) 776-3329 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 26, 2024, Jul 11, 2024 (2 updates tracked since 2024).

About Dr. Sipa Prabha Patel D.o. NPPES

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

DR. SIPA PRABHA PATEL D.O. (NPI 1245511344) is an individual family medicine provider in Colorado Springs, Colorado, licensed in Colorado (DR.0055610) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Colorado Springs, and is a graduate of West Virginia School Of Osteopathic Medicine (2006).

NPPES Registry Identity

NPI1245511344
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SIPA PRABHA PATELCredential: D.O.
Location Address1263 LAKE PLAZA DRColorado Springs, CO 80906-3564
Mailing Address1263 Lake Plaza DrColorado Springs, CO 80906-3564 · (719) 776-3300 · Fax (719) 776-3329
Phone(719) 776-3300
Fax(719) 776-3329
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2006
Enumeration DateSeptember 1, 2011
Last NPPES UpdateSeptember 26, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
✔ NPI 1245511344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CO · DR.0055610✔ Licensed in NJ · 25MB09379800
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1263 LAKE PLAZA DR, Colorado Springs, CO 80906
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Secondary Practice Location 1

Location 13027 N Circle DrColorado Springs, CO 80909-1179 · Phone (719) 776-4646 · Fax (719) 776-4640

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. Sipa Prabha Patel D.o. 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 ID8325267537
PECOS Enrollment IDI20160106000886
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 Reassignment

Medicare enrollment records show Sipa Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Catholic Health Initiatives Colorado
Same address
Orthopaedic Surgery
1263 LAKE PLAZA DR STE 210A
Colorado Springs, CO 80906
  • Reassigned Medicare billing, Colorado enrollment
  • 1,193 clinicians in this Medicare group
NPI 1508475278 (719) 776-3360

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

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
250 services120 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
99 services99 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
60 services35 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
16 services16 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
15 services15 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80906 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers36 claims36 services$69.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

CATHOLIC HEALTH INITIATIVES COLORADO
Clinic/Center (Urgent Care)
1263 LAKE PLAZA DR, SUITE 120
COLORADO SPRINGS, CO 80906
El Paso County (719) 776-3330
DAVID MATTHEW KENDALL PT, DPT
Physical Therapist
1263 LAKE PLAZA DR, SUITE 210B
COLORADO SPRINGS, CO 80906
El Paso County (719) 776-3388
MARTHA A TAYLOR MD
Family Medicine
1263 LAKE PLAZA DR, SUITE 230
COLORADO SPRINGS, CO 80906
El Paso County (719) 776-3300
CATHOLIC HEALTH INITIATIVES COLORADO
Family Medicine
1263 LAKE PLAZA DR, SUITE 230
COLORADO SPRINGS, CO 80906
El Paso County (719) 776-3300

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 Sipa Patel's NPI number?

The NPI number for Sipa Patel is 1245511344. It was assigned to this individual provider in the NPPES registry on September 1, 2011.

Where is Sipa Patel located?

Sipa Patel practices at 1263 Lake Plaza Dr, Colorado Springs, CO 80906. The listed phone number is (719) 776-3300.

What is Sipa Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sipa Patel enrolled in Medicare?

Yes. Sipa Patel 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 organization bills Medicare for Sipa Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sipa Patel reassigns Medicare benefits to Catholic Health Initiatives Colorado (Colorado Springs, CO). The 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 Sipa Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sipa Patel was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.