21ST MEDGRP-PETERSON
NPI 1942286224
Clinic/Center - Military/U.S. Coast Guard Outpatient in Peterson Afb, CO

NPI Status: Active since December 19, 2005

Contact Information

559 VINCENT ST
PETERSON AFB, CO
ZIP 80914
Phone: (719) 556-1250

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  • Organization
  • Clinic/Center
  • Military/U.S. Coast Guard Outpatient

About 21ST MEDGRP-PETERSON

This page provides the complete NPI Profile along with additional information for 21st Medgrp-peterson, a provider established in Peterson Afb, Colorado operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1942286224 assigned on December 2005. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Jen Lewandowski (Dha Ubo)

NPI
1942286224
Provider Legal Name
21ST MEDGRP-PETERSON
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
559 VINCENT ST PETERSON AFB, CO 80914
Location Phone
(719) 556-1250
Mailing Address
559 VINCENT ST PETERSON AFB, CO 80914
Mailing Phone
(719) 556-1250
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-19-2005
Last Update Date
06-17-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Military/U.S. Coast Guard Outpatient

Taxonomy Code
261QM1100X
Type
Ambulatory Health Care Facilities
Taxonomy Description
The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM1101XAmbulatory Health Care Facilities

Clinic/Center
Military and U.S. Coast Guard Ambulatory Procedure

 
2332000000XSuppliers

Military/U.S. Coast Guard Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEN LEWANDOWSKI

Authorized Official Title
DHA UBO
Authorized Official Phone
(703) 817-4030

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1548369259OTHER (01)CONPPES
06-16788OTHER (01)CONCPDP

Reviews for 21ST MEDGRP-PETERSON

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1942286224, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
4
Doubled → 8
Pos 4
2
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 2 → 4 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 8 + 2 + 4 + 8 + 1 + 2 + 2 + 4 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1942286224.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist
559 VINCENT ST, ATTN: 21 DS - DENTAL CLINIC
PETERSON AFB, CO 80914
Family Medicine
559 VINCENT ST, ATTN: 21 MDOS/SGPF - FLIGHT MEDICINE
COLORADO SPRINGS, CO 80914
Nurse Practitioner (Women's Health)
559 VINCENT ST, SUITE 605
PETERSON AFB, CO 80914
Nurse Practitioner (Women's Health)
559 VINCENT ST, FAMILY PRACTICE CLINIC
PETERSON AFB, CO 80914
Physical Therapist
559 VINCENT ST
PETERSON AFB, CO 80914
Social Worker (Clinical)
559 VINCENT ST
COLORADO SPRINGS, CO 80914
Dietitian, Registered
559 VINCENT ST
PETERSON AIR FORCE BASE, CO 80914
Nurse Practitioner (Pediatrics)
559 VINCENT ST, 21 MDOS/SGOC - PEDIATRICS
PETERSON AFB, CO 80914
Nurse Practitioner (Women's Health)
559 VINCENT ST, ATTN: 21 MDOS/SGOMG-WOMEN'S HEALTH
PETERSON AFB, CO 80914
Social Worker (Clinical)
559 VINCENT ST
PETERSON AFB, CO 80914
Dentist
559 VINCENT ST
PETERSON AFB, CO 80914
Preventive Medicine (Aerospace Medicine)
559 VINCENT ST, ATTN: 21 AMDS/SGPF - AEROSP MEDICINE
PETERSON AFB, CO 80914
Physician Assistant
559 VINCENT ST
PETERSON AFB, CO 80914
Family Medicine
559 VINCENT ST, ATTN: 21 AMDS/SGPF - FLIGHT MEDICINE
PETERSON AFB, CO 80914
Preventive Medicine (Aerospace Medicine)
559 VINCENT ST, ATTN: 21 AMDS/SGPF - AEROSP MED
PETERSON AFB, CO 80914
Physician Assistant (Medical)
559 VINCENT ST
PETERSON AIR FORCE BASE, CO 80914
Nurse Practitioner
559 VINCENT ST, ATTN: 21 MDOS/SGOF-FAMILY PRACTICE, 302D/CC
COLORADO SPRINGS, CO 80914
Counselor (Mental Health)
559 VINCENT ST, ATTN: 21 MDOS/SGOH--MENTAL HEALTH
PETERSON AFB, CO 80914
Psychologist (Clinical)
559 VINCENT ST, ATTN: 21 MDOS/SGOH-MENTAL HEALTH
PETERSON AFB, CO 80914
Pediatrics
559 VINCENT ST, 21 MDG/BDAA PEDIATRICS
COLORADO SPRINGS, CO 80914

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942286224, enumerated as an "organization" on December 19, 2005.

The provider is located at 559 VINCENT ST PETERSON AFB, CO 80914 and the phone number is (719) 556-1250.

Clinic/Center with taxonomy code 261QM1100X and a focus in Military/U.S. Coast Guard Outpatient.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.