Fernando H Thadepalli (NPI# 1821075821, PAC ID# 9537195326) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1821075821 |
| PAC ID by PECOS | 9537195326 |
| Professional Enrollment ID | I20180605002430 |
| Full Name | Fernando H Thadepalli |
| Organization Legal Name | DAVITA MEDICAL GROUP COLORADO SPRINGS, LLC |
| Address |
2405 Research Pkwy Colorado Springs CO 80920-1044 |
| Phone Number | 7192682800 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2769706431 |
| Number of Group Practice Members | 93 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060031 | CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES |
| Address | Phone | Organization |
|---|---|---|
| 2405 Research Pkwy, Colorado Springs, CO 80920-1044 | 7192682800 | DAVITA MEDICAL GROUP COLORADO SPRINGS, LLC |
| Organization Legal Name | DAVITA MEDICAL GROUP COLORADO SPRINGS, LLC |
| Physicians | 115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geoffrey Fung-soon Lim | Dermatology | Davita Medical Group Colorado Springs, LLC | 1633 Medical Ctr Pt, Colorado Springs, CO 80907-5700 |
| Muthanna Yacoub | Family Medicine | Davita Medical Group Colorado Springs, LLC | 700 W Us Hwy 24, Woodland Park, CO 80863-8975 |
| Megan L Bartusek | Nurse Practitioner | Davita Medical Group Colorado Springs, LLC | 2020 W Colorado Ave, Suite 100, Colorado Springs, CO 80904-3863 |
| Crystal Bw Evig | Obstetrics/gynecology | Davita Medical Group Colorado Springs, LLC | 2405 Research Pkwy, Colorado Springs, CO 80920-1044 |
| John Kunstle | Family Medicine | Davita Medical Group Colorado Springs, LLC | 6340 Barnes Rd, Colorado Springs, CO 80922-2602 |
| Steven E Boynton | Family Medicine | Davita Medical Group Colorado Springs, LLC | 5115 Fontaine Blvd, Fountain, CO 80817-1061 |
| Michael J Hemsworth | Family Medicine | Davita Medical Group Colorado Springs, LLC | 2610 Tenderfoot Hill St, Colorado Springs, CO 80906-3981 |
| Bonnye W Garman | Physician Assistant | Davita Medical Group Colorado Springs, LLC | 1625 Medical Ctr Pt, Colorado Springs, CO 80907-5748 |
| Richard A Miller | Family Medicine | Davita Medical Group Colorado Springs, LLC | 1625 Medical Ctr Pt, Colorado Springs, CO 80907-5748 |
| Christopher R Mcnulty | Family Medicine | Davita Medical Group Colorado Springs, LLC | 1633 Medical Ctr Pt, Colorado Springs, CO 80907-5700 |
| Street Address |
2405 RESEARCH PKWY |
| City | COLORADO SPRINGS |
| State | CO |
| Zip | 80920-1044 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystal Bw Evig | Obstetrics/gynecology | Davita Medical Group Colorado Springs, LLC | 2405 Research Pkwy, Colorado Springs, CO 80920-1044 |
| Susan M Heffley | Family Medicine | Davita Medical Group Colorado Springs, LLC | 2405 Research Pkwy, Colorado Springs, CO 80920-1044 |
| Nicole Taylor | Certified Nurse Midwife (cnm) | Davita Medical Group Colorado Springs, LLC | 2405 Research Pkwy, Colorado Springs, CO 80920-1044 |
| Borghild D Kalford | Nurse Practitioner | Davita Medical Group Colorado Springs, LLC | 2405 Research Pkwy, Colorado Springs, CO 80920-1044 |
| Kristin T Mills | Internal Medicine | Davita Medical Group Colorado Springs, LLC | 2405 Research Pkwy, Colorado Springs, CO 80920-1044 |
| Michael J Noble | Internal Medicine | Davita Medical Group Colorado Springs, LLC | 2405 Research Pkwy, Colorado Springs, CO 80920-1044 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael W Applebee | Physical Therapy | Complete Physiotherapy, Inc | 595 Chapel Hills Dr, Suite 145, Colorado Springs, CO 80920-1024 |
| Michael Joshua Wilhelm | Otolaryngology | Pikes Peak Ent | 595 Chapel Hills Dr, Suite 102, Colorado Springs, CO 80920-1024 |
| Jonathan Luke Arnholt | Otolaryngology | Pikes Peak Ent | 595 Chapel Hills Dr, Suite 102, Colorado Springs, CO 80920-1024 |
| Nathanael S Brady | Allergy/immunology | 595 Chapel Hills Dr, Suite 102, Colorado Springs, CO 80920-1024 | |
| Brenda J Feller | Physical Therapy | Complete Physiotherapy, Inc | 595 Chapel Hills Dr, Suite 145, Colorado Springs, CO 80920-1024 |
| Allison J Atherton | Physical Therapy | Complete Physiotherapy, Inc | 595 Chapel Hills Dr, Suite 145, Colorado Springs, CO 80920-1024 |
| Tara M Burton | Physician Assistant | Skin Cancer and Dermatology Center of Colorado Springs, P.C. | 1975 Research Pkwy, Suite 165, Colorado Springs, CO 80920-1026 |
| Juliene Faye Miller | Qualified Audiologist | Poudre Valley Medical Group LLC | 595 Chapel Hills Dr, Suite 240, Colorado Springs, CO 80920-1056 |
| Timothy A Christopherson | Chiropractic | 595 Chapel Hills Dr, Suite 200, Colorado Springs, CO 80920-1056 | |
| David Phillip Theis | Rheumatology | 595 Chapel Hills Dr, Suite 201, Colorado Springs, CO 80920-1056 | |
| Find all physicians in zip 80920 | |||
| City | COLORADO SPRINGS |
| Zip Code | 80920 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | COLORADO SPRINGS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Fernando H Thadepalli.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.