Pueblo Sports and Family Medicine PLLC
NPI 1225525132 · Sports Medicine (Family Medicine) Physician · Pueblo, CO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pueblo Sports and Family Medicine PLLC is a Sports Medicine (Family Medicine) Physician organization in Pueblo, CO (NPI 1225525132).
Provider details
- NPI number
- 1225525132
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rakesh Khosla, President(719) 544-2740
- License
- 543004 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-04-16
- Last updated
- 2018-04-22
Frequently asked questions
- What is Pueblo Sports and Family Medicine PLLC's NPI number?
- Pueblo Sports and Family Medicine PLLC's National Provider Identifier (NPI) is 1225525132, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pueblo Sports and Family Medicine PLLC?
- Pueblo Sports and Family Medicine PLLC is classified in the NPPES registry as Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Pueblo Sports and Family Medicine PLLC located?
- Pueblo Sports and Family Medicine PLLC's practice location on file with NPPES is 1315 Fortino Blvd Ste C, Pueblo, CO 81008-1981.
- What is Pueblo Sports and Family Medicine PLLC's phone number?
- The practice phone number listed in the NPPES registry for Pueblo Sports and Family Medicine PLLC is (719) 544-2740.
- Does Pueblo Sports and Family Medicine PLLC accept Medicare?
- Pueblo Sports and Family Medicine PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pueblo Sports and Family Medicine PLLC?
- The authorized official listed on Pueblo Sports and Family Medicine PLLC's NPPES record is Rakesh Khosla, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pueblo Sports and Family Medicine PLLC's NPI active?
- Yes — Pueblo Sports and Family Medicine PLLC's NPI (1225525132) is active in the NPPES registry as of the last update on 2018-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.