ADVANTAGE INTERNAL MEDICINE PLLC
NPI 1902547912
Internal Medicine in Canon City, CO

Active since April 05, 2022
1338 PHAY AVE, CANON CITY, CO 81212(702) 453-3799(702) 453-5741 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advantage Internal Medicine Pllc NPPES

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

ADVANTAGE INTERNAL MEDICINE PLLC (NPI 1902547912) is a healthcare organization registered as an internal medicine in Canon City, Colorado and active in the NPI registry since April 2022. The organization maintains a secondary practice location in Winfield and lists William Elzi, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1902547912
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameADVANTAGE INTERNAL MEDICINE PLLC
Location Address1338 PHAY AVECanon City, CO 81212-2311
Mailing Address405 Collier Ranch RdStephenville, TX 76401-1988 · (702) 453-3799 · Fax (702) 453-5741
Fax(702) 453-5741
Organization SubpartNo
Authorized OfficialWilliam ElziSole Owner · (720) 938-5022
Enumeration DateApril 5, 2022
NPPES CertifiedApril 4, 2022
✔ NPI 1902547912 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.
1338 PHAY AVE, Canon City, CO 81212

Secondary Practice Location 1

Location 11300 E 5th AveWinfield, KS 67156-2407 · Phone (702) 453-3799 · Fax (702) 453-5741

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)

Advantage Internal Medicine Pllc 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 Advantage Internal Medicine PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1164500245
1338 PHAY AVE
Canon City, CO 81212
(720) 938-5022
✔ 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.

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 Advantage Internal Medicine PLLC's NPI number?

The NPI number for Advantage Internal Medicine PLLC is 1902547912. It was assigned to this organization in the NPPES registry on April 5, 2022.

Where is Advantage Internal Medicine PLLC located?

Advantage Internal Medicine PLLC is located at 1338 Phay Ave, Canon City, CO 81212. The listed phone number is (702) 453-3799.

What is Advantage Internal Medicine PLLC's specialty?

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

Is Advantage Internal Medicine PLLC enrolled in Medicare?

Yes. Advantage Internal Medicine PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advantage Internal Medicine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Advantage Internal Medicine PLLC. 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 Advantage Internal Medicine PLLC was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.