MOUNTAIN STREAMS MEDICAL CENTER PC
NPI 1710046958
Family Medicine in Colorado Springs, CO

Active since December 06, 2006
2155 HOLLOW BROOK DR STE 60, COLORADO SPRINGS, CO 80918(719) 536-4831(719) 536-4814 Get Directions Write a Review

NPPES record last updated: June 2, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mountain Streams Medical Center Pc NPPES

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

MOUNTAIN STREAMS MEDICAL CENTER PC (NPI 1710046958) is a healthcare organization registered as a family medicine in Colorado Springs, Colorado and active in the NPI registry since December 2006. The organization maintains a secondary practice location in Greenwood Village and lists Scott B Woody, President, as its authorized official.

NPPES Registry Identity

NPI1710046958
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMOUNTAIN STREAMS MEDICAL CENTER PC
Location Address2155 HOLLOW BROOK DR STE 60Colorado Springs, CO 80918-1455
Mailing AddressPo Box 820Castle Rock, CO 80104-0820
Fax(719) 536-4814
Organization SubpartNo
Authorized OfficialScott B WoodyPresident · (719) 321-6974
Enumeration DateDecember 6, 2006
Last NPPES UpdateJune 2, 2020
NPPES CertifiedJune 2, 2020
✔ NPI 1710046958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · 39735
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2155 HOLLOW BROOK DR STE 60, Colorado Springs, CO 80918

Secondary Practice Location 1

Location 18301 E Prentice Ave Ste 145Greenwood Village, CO 80111-2904 · Phone (303) 221-2125 · Fax (303) 221-3215

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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountain Streams Medical Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

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.

StateEnrollment IDDue date
StateColoradoEnrollment IDO20070105000173Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mountain Streams Medical Center PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1033117957
8301 E PRENTICE AVE SUITE 145
Greenwood Village, CO 80111
(303) 469-7300
✔ PECOS✔ Accepts Medicare49 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 Mountain Streams Medical Center PC's NPI number?

The NPI number for Mountain Streams Medical Center PC is 1710046958. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Mountain Streams Medical Center PC located?

Mountain Streams Medical Center PC is located at 2155 Hollow Brook Dr Ste 60, Colorado Springs, CO 80918. The listed phone number is (719) 536-4831.

What is Mountain Streams Medical Center PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mountain Streams Medical Center PC enrolled in Medicare?

Yes. Mountain Streams Medical Center PC is registered in the Medicare PECOS enrollment system.

When is Mountain Streams Medical Center PC'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 January 31, 2027. 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 Mountain Streams Medical Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Mountain Streams Medical Center PC. 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.

When was this NPI record last updated?

The NPPES record for Mountain Streams Medical Center PC was last updated on June 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.