REGENERATIVE AND WELLNESS MEDICINE P.C.
NPI 1659138337
Internal Medicine in Canon City, CO

Active since February 29, 2024CLIA 06D2339850 · Waiver
609 ROYAL GORGE BLVD, CANON CITY, CO 81212(917) 717-4643(917) 324-2154 Get Directions Write a Review

NPPES record last updated: January 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Regenerative And Wellness Medicine P.c. NPPES

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

REGENERATIVE AND WELLNESS MEDICINE P.C. (NPI 1659138337) is a healthcare organization registered as an internal medicine in Canon City, Colorado and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through March 8, 2028 and lists Anton Sabiev, Physician, as its authorized official.

NPPES Registry Identity

NPI1659138337
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameREGENERATIVE AND WELLNESS MEDICINE P.C.
Location Address609 ROYAL GORGE BLVDCanon City, CO 81212-3750
Mailing Address609 Royal Gorge BlvdCanon City, CO 81212-3750 · (917) 717-4643 · Fax (917) 924-3154
Fax(917) 324-2154
Organization SubpartNo
Authorized OfficialAnton SabievPhysician · (917) 717-4643
Enumeration DateFebruary 29, 2024
Last NPPES UpdateJanuary 10, 2026
NPPES CertifiedJanuary 10, 2026
✔ NPI 1659138337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
609 ROYAL GORGE BLVD, Canon City, CO 81212

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Regenerative And Wellness Medicine P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Regenerative And Wellness Medicine P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1871042440
609 ROYAL GORGE BLVD
Canon City, CO 81212
(917) 717-4643
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2339850

Regenerative And Wellness Medicine PC · Canon City, CO
Active · expires Mar 8, 2028
CLIA Number06D2339850
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2026
Certificate Expiration DateMarch 8, 2028
Laboratory DirectorAnton V. Sabiev
Laboratory Phone(917) 717-4643
Laboratory LocationRegenerative And Wellness Medicine PC609 Royal Gorge Blvd, Canon City, CO 81212
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Regenerative And Wellness Medicine P.C.'s NPI number?

The NPI number for Regenerative And Wellness Medicine P.C. is 1659138337. It was assigned to this organization in the NPPES registry on February 29, 2024.

Where is Regenerative And Wellness Medicine P.C. located?

Regenerative And Wellness Medicine P.C. is located at 609 Royal Gorge Blvd, Canon City, CO 81212. The listed phone number is (917) 717-4643.

What is Regenerative And Wellness Medicine P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Regenerative And Wellness Medicine P.C. enrolled in Medicare?

Yes. Regenerative And Wellness Medicine P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Regenerative And Wellness Medicine P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Regenerative And Wellness Medicine 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Regenerative And Wellness Medicine P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2339850) is associated with this NPI, valid through March 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Regenerative And Wellness Medicine P.C. was last updated on January 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.