SOUTHERN COLORADO RADIOLOGISTS, P.C.
NPI 1386699486
Specialist in Pueblo, CO
About Southern Colorado Radiologists, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN COLORADO RADIOLOGISTS, P.C. (NPI 1386699486) is a healthcare organization registered as a specialist in Pueblo, Colorado and active in the NPI registry since May 2006. The organization lists Cookie Henderson, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Colorado Radiologists, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Southern Colorado Radiologists, P.C., which bills Medicare for the services they deliver. Of these, 8 practice at this address. They are listed nearest first.
Clinicians, nearest first (11)
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 Southern Colorado Radiologists, P.C.'s NPI number?
The NPI number for Southern Colorado Radiologists, P.C. is 1386699486. It was assigned to this organization in the NPPES registry on May 24, 2006.
Where is Southern Colorado Radiologists, P.C. located?
Southern Colorado Radiologists, P.C. is located at 1619 N Greenwood St Ste 103, Pueblo, CO 81003. The listed phone number is (719) 542-2167.
What is Southern Colorado Radiologists, P.C.'s specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Southern Colorado Radiologists, P.C. enrolled in Medicare?
Yes. Southern Colorado Radiologists, P.C. is registered in the Medicare PECOS enrollment system.
When is Southern Colorado Radiologists, P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Southern Colorado Radiologists, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Southern Colorado Radiologists, P.C.. 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, 8 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 Southern Colorado Radiologists, P.C. was last updated on April 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Southern Colorado Radiologists, P.c. · NPI 1386699486
Specialist organization in Pueblo, Colorado. Organization record, active in the CMS NPPES registry since May 24, 2006.
## Identity
- **NPI:** 1386699486 (Entity type: Organization)
- **Enumerated:** May 24, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Cookie Henderson, OFFICE MANAGER
## Practice location
- **Address:** 1619 N GREENWOOD ST STE 103, Pueblo, CO 81003-2655
- **Phone:** (719) 542-2167 · **Fax:** (719) 542-0320
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Colorado, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 11 clinicians (Diagnostic Radiology) reassign Medicare billing to this organization (form CMS-855R); 8 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 17, 2008
- **Other identifiers:** Medicare PIN C11708 (CO); Medicaid 04117081 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1386699486) · Data from the CMS NPPES public registry.