MEDICARE: CS CARDIOLOGY NEWCO LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207RI0011X	Interventional Cardiology Physician
2	207RC0001X	Clinical Cardiac Electrophysiology Physician
3	2086S0129X	Vascular Surgery Physician
4	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1750085445
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CS CARDIOLOGY NEWCO LLC

Provider Business Mailing Address
First Line	:	1625 MEDICAL CENTER PT STE 240
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-8721
Country	:	US
Telephone Number	:	719-960-0363
Fax Number	:	719-413-5966

Provider Business Practice Location Address
First Line	:	1625 MEDICAL CENTER PT STE 210
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-5798
Country	:	US
Telephone Number	:	708-289-4757
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF CONTRACTING
Name	:	MEGAN THOMAS
Credential	:
Telephone Number	:	224-285-6266

Provider Enumeration Date	:	03/28/2023
Last Update Date	:	02/16/2026

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Directions to “CS CARDIOLOGY NEWCO LLC ” Practice Location

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