Organization provider

ADVANTAGE INTERNAL MEDICINE PLLC

Internal Medicine Physician Medicare enrolled

ADVANTAGE INTERNAL MEDICINE PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1902547912, based in Canon City, CO. It is classified under Internal Medicine Physician.

Getting there

The practice address on file is 1338 PHAY AVE, Canon City, CO 81212. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1338 PHAY AVE, Canon City, CO 81212 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
1052708880

Enrolled in Medicare 3 times, across 3 states:

StateEnrollment IDProvider type
Kansas O20220426002706 Part B Supplier - Clinic/group Practice
Colorado O20220504000067 Part B Supplier - Clinic/group Practice
Michigan O20241023002727 Part B Supplier - Clinic/group Practice

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 3 separate enrolment records across 3 states (KS, CO, MI). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Internal Medicine covers

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. NUCC Health Care Provider Taxonomy, code 207R00000X
Allopathic & Osteopathic Physicians Internal Medicine

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1902547912 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateApr 5, 2022
Last updatedApr 5, 2022
StatusActive
Practice address 1338 PHAY AVE
Canon City, CO 81212
(702) 453-3799
Fax (702) 453-5741
Mailing address 405 COLLIER RANCH RD
Stephenville, TX 76401
The last update on file is Apr 5, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1902547912 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 9 0 2 5 4 7 9 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 9 0 2 1 4 5 9 2

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1902547912?
NPI 1902547912 is the National Provider Identifier assigned to ADVANTAGE INTERNAL MEDICINE PLLC in Canon City, CO. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Internal Medicine Physician cover?
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…
How do I contact ADVANTAGE INTERNAL MEDICINE PLLC?
The phone number on file with NPPES is (702) 453-3799, last updated Apr 5, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does ADVANTAGE INTERNAL MEDICINE PLLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1902547912 a valid number?
Yes. 1902547912 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.