COLORADO SPRINGS NEPHROLOGY
NPI 1376879254
Internal Medicine - Nephrology in Colorado Springs, CO
About Colorado Springs Nephrology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLORADO SPRINGS NEPHROLOGY (NPI 1376879254) is a healthcare organization registered as a nephrology in Colorado Springs, Colorado and active in the NPI registry since October 2009. The organization lists Robert Provenzano, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Colorado Springs Nephrology 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 Colorado Springs Nephrology, which bills Medicare for the services they deliver. Of these, 1 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 Colorado Springs Nephrology's NPI number?
The NPI number for Colorado Springs Nephrology is 1376879254. It was assigned to this organization in the NPPES registry on October 27, 2009.
Where is Colorado Springs Nephrology located?
Colorado Springs Nephrology is located at 1725 E Boulder St Suite 105, Colorado Springs, CO 80909. The listed phone number is (866) 691-6243.
What is Colorado Springs Nephrology's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Colorado Springs Nephrology enrolled in Medicare?
Yes. Colorado Springs Nephrology is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Colorado Springs Nephrology?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Colorado Springs Nephrology, in Nephrology 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, 1 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 Nephrology was last updated on August 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Colorado Springs Nephrology · NPI 1376879254
Nephrology organization in Colorado Springs, Colorado. Organization record, active in the CMS NPPES registry since October 27, 2009.
## Identity
- **NPI:** 1376879254 (Entity type: Organization)
- **Enumerated:** October 27, 2009
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Robert Provenzano, PRESIDENT
## Practice location
- **Address:** 1725 E BOULDER ST, SUITE 105, Colorado Springs, CO 80909-5768
- **Phone:** (866) 691-6243
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nephrology (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 26, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1376879254) · Data from the CMS NPPES public registry.