VANGUARD MEDICAL SPECIALISTS LLC
NPI 1639799257
Dermatology in Pueblo, CO

Active since April 23, 2020
5700 N ELIZABETH ST, PUEBLO, CO 81008(719) 355-1585 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 1, 2024, May 26, 2023, Apr 23, 2020 (3 updates tracked since 2020).

About Vanguard Medical Specialists Llc NPPES

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

VANGUARD MEDICAL SPECIALISTS LLC (NPI 1639799257) is a healthcare organization registered as a dermatology in Pueblo, Colorado and active in the NPI registry since April 2020. The organization lists Amber Gust-allen, Revenue Cycle Manager, as its authorized official.

NPPES Registry Identity

NPI1639799257
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameVANGUARD MEDICAL SPECIALISTS LLC
Location Address5700 N ELIZABETH STPueblo, CO 81008-2166
Mailing AddressPo Box 5088Denver, CO 80217-5088 · (719) 355-1585 · Fax (719) 623-2983
Organization SubpartNo
Authorized OfficialAmber Gust-allenRevenue Cycle Manager · (719) 465-5643
Enumeration DateApril 23, 2020
Last NPPES UpdateApril 1, 20243 updates tracked since enumeration
NPPES CertifiedApril 1, 2024
✔ NPI 1639799257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X
Also ListedPlastic SurgeryTaxonomy 208200000X
5700 N ELIZABETH ST, Pueblo, CO 81008

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Vanguard Medical Specialists Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Vanguard Medical Specialists LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 5

Dermatology9
Nurse Practitioner3
Otolaryngology3
Micrographic Dermatologic Surgery (MDS)2
Plastic and Reconstructive Surgery1

Clinicians, nearest first (18)

Nurse Practitioner
NPI 1053183095
8540 SCARBOROUGH DR STE 300
Colorado Springs, CO 80920
(719) 755-0720
✔ PECOS43 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1851411409
9348 GRAND CORDERA PKWY SUITE 160
Colorado Springs, CO 80924
(719) 355-1585
✔ PECOS✔ Accepts Medicare44 mi
Nurse Practitioner
NPI 1336456151
9348 GRAND CORDERA PKWY STE 160
Colorado Springs, CO 80924
(719) 355-1585
✔ PECOS✔ Accepts Medicare44 mi
Dermatology
NPI 1326545328
9348 GRAND CORDERA PKWY STE 160
Colorado Springs, CO 80924
(719) 355-1585
✔ PECOS✔ Accepts Medicare44 mi
Plastic and Reconstructive Surgery
NPI 1801087044
9348 GRAND CORDERA PKWY STE 160
Colorado Springs, CO 80924
(719) 355-1585
✔ PECOS✔ Accepts Medicare44 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1730364167
9348 GRAND CORDERA PKWY STE 160
Colorado Springs, CO 80924
(719) 355-1585
✔ PECOS✔ Accepts Medicare44 mi
Dermatology
NPI 1467709972
9348 GRAND CORDERA PKWY SUITE 160
Colorado Springs, CO 80924
(719) 355-1585
✔ PECOS✔ Accepts Medicare44 mi
Dermatology
NPI 1518233972
9348 GRAND CORDERA PKWY STE 160
Colorado Springs, CO 80924
(719) 355-1585
✔ PECOS✔ Accepts Medicare44 mi
Nurse Practitioner
NPI 1588130157
9348 GRAND CORDERA PKWY STE 160
Colorado Springs, CO 80924
(719) 355-1585
✔ PECOS✔ Accepts Medicare44 mi
Dermatology
NPI 1649625351
9348 GRAND CORDERA PKWY STE 160
Colorado Springs, CO 80924
(719) 355-1585
✔ PECOS✔ Accepts Medicare44 mi
Otolaryngology
NPI 1235321993
2060 BRIARGATE PKWY STE 120
Colorado Springs, CO 80920
(719) 301-3800
✔ PECOS✔ Accepts Medicare45 mi
Dermatology
NPI 1679718027
1710 JET STREAM DR STE 105
Colorado Springs, CO 80921
(719) 600-1791
✔ PECOS✔ Accepts Medicare47 mi
Dermatology
NPI 1801352539
10TH MDG 4102 PINION DR
Usaf Academy, CO 80840
(719) 333-5292
✔ PECOS48 mi
Dermatology
NPI 1922529965
1175 S PERRY ST STE 220
Castle Rock, CO 80104
(720) 615-6400
✔ PECOS✔ Accepts Medicare72 mi
Otolaryngology
NPI 1104041326
2352 MEADOWS BLVD SUITE 290
Castle Rock, CO 80109
(303) 268-2222
✔ PECOS75 mi
Otolaryngology
NPI 1740674167
1501 W MINERAL AVE STE 270
Littleton, CO 80120
(303) 795-5587
✔ PECOS✔ Accepts Medicare88 mi
Dermatology
NPI 1275896045
36065 SANTA FE AVE
Fort Hood, TX 76544
(254) 288-8000
✔ PECOS✔ Accepts Medicare630 mi
Dermatology
NPI 1972166593
1430 TULANE AVE # 8036
New Orleans, LA 70112
(504) 988-5114
✔ PECOS✔ Accepts Medicare1,012 mi

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 Vanguard Medical Specialists LLC's NPI number?

The NPI number for Vanguard Medical Specialists LLC is 1639799257. It was assigned to this organization in the NPPES registry on April 23, 2020.

Where is Vanguard Medical Specialists LLC located?

Vanguard Medical Specialists LLC is located at 5700 N Elizabeth St, Pueblo, CO 81008. The listed phone number is (719) 355-1585.

What is Vanguard Medical Specialists LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Vanguard Medical Specialists LLC enrolled in Medicare?

Yes. Vanguard Medical Specialists LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vanguard Medical Specialists LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 5 Medicare specialties reassign their Medicare billing to Vanguard Medical Specialists LLC. 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. The largest specialties are Dermatology (9), Nurse Practitioner (3) and Otolaryngology (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vanguard Medical Specialists LLC was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.