GOLDA REISDORPH PA
NPI 1417992132
Physician Assistant in Colorado Springs, CO

Active since June 17, 2006PECOS Enrolled
2405 RESEARCH PKWY, COLORADO SPRINGS, CO 80920(719) 574-9191 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 5, 2025, Nov 15, 2024, Jul 24, 2020 and 1 more (4 updates tracked since 2019).

About Golda Reisdorph Pa NPPES

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

GOLDA REISDORPH PA (NPI 1417992132) is an individual physician assistant in Colorado Springs, Colorado, licensed in Colorado (PA.0001301) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417992132
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGOLDA REISDORPHCredential: PA
Location Address2405 RESEARCH PKWYColorado Springs, CO 80920-1044
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (719) 538-2900
Sole ProprietorNo
Enumeration DateJune 17, 2006
Last NPPES UpdateFebruary 5, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
NPI 1417992132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CO · PA.0001301
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 1301 (CO)
2405 RESEARCH PKWY, Colorado Springs, CO 80920

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Golda Reisdorph Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80920 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

Obstetrics & Gynecology
2405 RESEARCH PKWY
COLORADO SPRINGS, CO 80920
General Practice
2405 RESEARCH PKWY
COLORADO SPRINGS, CO 80920
Family Medicine
2405 RESEARCH PKWY
COLORADO SPRINGS, CO 80920
Obstetrics & Gynecology
2405 RESEARCH PKWY
COLORADO SPRINGS, CO 80920
Family Medicine
2405 RESEARCH PKWY
COLORADO SPRINGS, CO 80920
Dermatology
2405 RESEARCH PKWY
COLORADO SPRINGS, CO 80920
Family Medicine
2405 RESEARCH PKWY
COLORADO SPRINGS, CO 80920
Internal Medicine
2405 RESEARCH PKWY
COLORADO SPRINGS, CO 80920

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 Golda Reisdorph's NPI number?

The NPI number for Golda Reisdorph is 1417992132. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Golda Reisdorph located?

Golda Reisdorph practices at 2405 Research Pkwy, Colorado Springs, CO 80920. The listed phone number is (719) 574-9191.

What is Golda Reisdorph's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Golda Reisdorph enrolled in Medicare?

Yes. Golda Reisdorph is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Golda Reisdorph was last updated on February 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.