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ADULT MEDICINE SPECIALISTS PC
NPI 1316162464
Internal Medicine in Pueblo, CO

Active since April 16, 2007CLIA 06D0518071 · Waiver
314 W 16TH ST, PUEBLO, CO 81003(719) 546-3511(719) 583-1292 Get Directions Write a Review

NPPES record last updated: June 13, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Adult Medicine Specialists Pc NPPES

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

ADULT MEDICINE SPECIALISTS PC (NPI 1316162464) is a healthcare organization registered as an internal medicine in Pueblo, Colorado and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Sally K Prutch, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1316162464
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameADULT MEDICINE SPECIALISTS PC
Location Address314 W 16TH STPueblo, CO 81003-2728
Mailing Address314 W 16th StPueblo, CO 81003 · (719) 546-3511 · Fax (719) 583-1292
Phone(719) 546-3511
Fax(719) 583-1292
Organization SubpartNo
Authorized OfficialSally K PrutchOffice Manager · (719) 546-3511
Enumeration DateApril 16, 2007
Last NPPES UpdateJune 13, 2012
✔ NPI 1316162464 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 · 23565
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.

314 W 16TH ST, Pueblo, CO 81003
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Other Identifiers 2

Medicaid04004313CO
Medicare ID-Type UnspecifiedCA1208

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

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 06D0518071

Adult Medicine Specialists, PC · Pueblo, CO
Active · expires Aug 31, 2026
CLIA Number06D0518071
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Anthony Ortegon
Laboratory Phone(719) 546-3511
Laboratory LocationAdult Medicine Specialists, PC314 W 16th Street, Pueblo, CO 81006
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DR. JAY CHRISTOPHER TONNE MD
Internal Medicine
314 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 546-3511
RICKY ALLEN MONETT NP
Nurse Practitioner (Family)
314 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 546-3511
MRS. JOSEPHINE LOUISE MCCLURE FNP
Nurse Practitioner (Family)
314 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 546-3511
KARLA RAE RICHARDSON-TRUJILLO FNP
Nurse Practitioner (Family)
314 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 546-3511
SOUTHERN COLORADO CLINIC PC
Clinic/Center
314 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 553-2200

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 Adult Medicine Specialists PC's NPI number?

The NPI number for Adult Medicine Specialists PC is 1316162464. It was assigned to this organization in the NPPES registry on April 16, 2007.

Where is Adult Medicine Specialists PC located?

Adult Medicine Specialists PC is located at 314 W 16th St, Pueblo, CO 81003. The listed phone number is (719) 546-3511.

What is Adult Medicine Specialists PC's specialty?

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

Does Adult Medicine Specialists PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D0518071) 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 Adult Medicine Specialists PC was last updated on June 13, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.