1. Home
  2. Directory
  3. Colorado
  4. Springs
  5. Internal Medicine
  6. NPI Profile

SUMMIT MEDICAL CLINIC, PC
NPI 1992709653
Internal Medicine in Colorado Springs, CO

Active since June 10, 2005CLIA 06D0958335 · Waiver
1380 E FILLMORE ST, 100, COLORADO SPRINGS, CO 80907(719) 630-1006(719) 630-0688 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2023, Feb 21, 2017 (2 updates tracked since 2017).

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

NPI1992709653
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSUMMIT MEDICAL CLINIC, PC
Location Address1380 E FILLMORE ST, 100Colorado Springs, CO 80907-6460
Mailing Address1380 E Fillmore St, 100Colorado Springs, CO 80907-6460 · (719) 630-1006 · Fax (719) 630-0688
Phone(719) 630-1006
Fax(719) 630-0688
Organization SubpartNo
Authorized OfficialPratheep AroraPresident · (719) 630-1006
Enumeration DateJune 10, 2005
Last NPPES UpdateMay 4, 20232 updates tracked since enumeration
NPPES CertifiedMay 4, 2023
✔ NPI 1992709653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CO · 0000
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.
1380 E FILLMORE ST, Colorado Springs, CO 80907
Open in Google Maps ↗

Other Identifiers 2

OtherCM 5708CO · Medicare #
Medicaid82327076CO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, CO
Active · expires Mar 15, 2027
CLIA Number06D0958335
Laboratory TypePhysician Office
Certificate Effective DateMarch 16, 2025
Certificate Expiration DateMarch 15, 2027
Laboratory DirectorPratheep Arora
Laboratory Phone(719) 630-1006
Laboratory LocationSummit Medical Clinic1380 E Fillmore, Ste 100, Colorado Springs, CO 80907
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 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.

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.