CORWIN CLINIC SURGICAL, PC
NPI 1356492219
Specialist in Pueblo, CO
About Corwin Clinic Surgical, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORWIN CLINIC SURGICAL, PC (NPI 1356492219) is a healthcare organization registered as a specialist in Pueblo, Colorado and active in the NPI registry since January 2007. The organization lists Gary E. Lane, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Corwin Clinic Surgical, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Corwin Clinic Surgical, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Corwin Clinic Surgical Professional Corp's NPI number?
The NPI number for Corwin Clinic Surgical Professional Corp is 1356492219. It was assigned to this organization in the NPPES registry on January 16, 2007. The provider is also known as Corwin Clinic Surgical, PC.
Where is Corwin Clinic Surgical Professional Corp located?
Corwin Clinic Surgical Professional Corp is located at 1925 E Orman Ave Ste A109, Pueblo, CO 81004. The listed phone number is (719) 564-0210.
What is Corwin Clinic Surgical Professional Corp's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Corwin Clinic Surgical Professional Corp enrolled in Medicare?
Yes. Corwin Clinic Surgical Professional Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Corwin Clinic Surgical Professional Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in General Surgery, reassign their Medicare billing to Corwin Clinic Surgical Professional Corp. 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, 2 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 Corwin Clinic Surgical Professional Corp was last updated on March 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Corwin Clinic Surgical, Pc · NPI 1356492219
Specialist organization in Pueblo, Colorado. Organization record, active in the CMS NPPES registry since January 16, 2007.
## Identity
- **NPI:** 1356492219 (Entity type: Organization)
- **Enumerated:** January 16, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Legal business name:** Corwin Clinic Surgical Professional Corp
- **Organization subpart:** No
- **Authorized official:** Gary Lane, PRESIDENT
## Practice location
- **Address:** 1925 E ORMAN AVE STE A109, Pueblo, CO 81004-3555
- **Phone:** (719) 564-0210 · **Fax:** (719) 564-9483
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (General Surgery) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 23, 2011
- **Other identifiers:** Medicare ID-Type Unspecified CK9608 (CO); Medicaid 04011417 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1356492219) · Data from the CMS NPPES public registry.