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COLORADO SPRINGS ENDOCRINE CLINIC PC
NPI 1336101765
Internal Medicine - Endocrinology, Diabetes & Metabolism in Colorado Springs, CO

Active since April 03, 2006
325 E FONTANERO ST, COLORADO SPRINGS ENDOCRINE CLINIC PC, COLORADO SPRINGS, CO 80907(719) 636-3829(719) 633-8571 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Colorado Springs Endocrine Clinic Pc NPPES

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

COLORADO SPRINGS ENDOCRINE CLINIC PC (NPI 1336101765) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Colorado Springs, Colorado and active in the NPI registry since April 2006. The organization lists Susan E Henley, Corporate President, as its authorized official.

NPPES Registry Identity

NPI1336101765
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameCOLORADO SPRINGS ENDOCRINE CLINIC PC
Location Address325 E FONTANERO ST, COLORADO SPRINGS ENDOCRINE CLINIC PCColorado Springs, CO 80907-7533
Mailing Address325 E Fontanero St, Colorado Springs Endocrine Clinic PcColorado Springs, CO 80907-7533 · (719) 636-3829 · Fax (719) 633-8571
Phone(719) 636-3829
Fax(719) 633-8571
Organization SubpartNo
Authorized OfficialSusan E HenleyCorporate President · (719) 636-3829
Enumeration DateApril 3, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1336101765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
325 E FONTANERO ST, Colorado Springs, CO 80907
Open in Google Maps ↗

Other Identifiers 1

Medicaid04008066CO

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)

Colorado Springs Endocrine Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Colorado Springs Endocrine Clinic 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)

Amy Banaszak, FNP
Nurse Practitioner
NPI 1215210471
325 E FONTANERO ST
Colorado Springs, CO 80907
(719) 636-3829
✔ PECOSSame address
Jean Doan, NP-C
Nurse Practitioner
NPI 1528253895
325 E FONTANERO ST
Colorado Springs, CO 80907
(719) 636-3829
✔ PECOSSame address
Susan Henley, MD
Endocrinology
NPI 1083683049
325 E FONTANERO ST
Colorado Springs, CO 80907
(719) 636-3829
✔ 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 Colorado Springs Endocrine Clinic PC's NPI number?

The NPI number for Colorado Springs Endocrine Clinic PC is 1336101765. It was assigned to this organization in the NPPES registry on April 3, 2006.

Where is Colorado Springs Endocrine Clinic PC located?

Colorado Springs Endocrine Clinic PC is located at 325 E Fontanero St Colorado Springs Endocrine Clinic PC, Colorado Springs, CO 80907. The listed phone number is (719) 636-3829.

What is Colorado Springs Endocrine Clinic PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Colorado Springs Endocrine Clinic PC enrolled in Medicare?

Yes. Colorado Springs Endocrine Clinic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Colorado Springs Endocrine Clinic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Colorado Springs Endocrine Clinic PC, in Endocrinology 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 Colorado Springs Endocrine Clinic PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.