SUMMIT MEDICAL CLINIC, PC
NPI 1992709653
Internal Medicine in Colorado Springs, CO
About Summit Medical Clinic, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMMIT MEDICAL CLINIC, PC (NPI 1992709653) is a healthcare organization registered as an internal medicine in Colorado Springs, Colorado and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through March 15, 2027 and lists Pratheep Arora, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Summit Medical Clinic, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Summit Medical Clinic, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Colorado Springs, CO 80907
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 06D0958335
Summit Medical Clinic · Colorado Springs, COFrequently 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 Summit Medical Clinic, PC's NPI number?
The NPI number for Summit Medical Clinic, PC is 1992709653. It was assigned to this organization in the NPPES registry on June 10, 2005.
Where is Summit Medical Clinic, PC located?
Summit Medical Clinic, PC is located at 1380 E Fillmore St 100, Colorado Springs, CO 80907. The listed phone number is (719) 630-1006.
What is Summit Medical Clinic, PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Summit Medical Clinic, PC enrolled in Medicare?
Yes. Summit Medical Clinic, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Summit Medical Clinic, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Summit Medical Clinic, PC, in Internal Medicine and Nurse Practitioner. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Summit Medical Clinic, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 06D0958335) is associated with this NPI, valid through March 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Summit Medical Clinic, PC was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Summit Medical Clinic, Pc · NPI 1992709653
Internal Medicine organization in Colorado Springs, Colorado. Organization record, active in the CMS NPPES registry since June 10, 2005.
## Identity
- **NPI:** 1992709653 (Entity type: Organization)
- **Enumerated:** June 10, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Pratheep Arora, PRESIDENT
## Practice location
- **Address:** 1380 E FILLMORE ST, 100, Colorado Springs, CO 80907-6460
- **Phone:** (719) 630-1006 · **Fax:** (719) 630-0688
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Internal Medicine (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 4, 2023
- **Other identifiers:** Other CM 5708 (CO); Medicaid 82327076 (CO)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1992709653) · Data from the CMS NPPES public registry.