Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Michael Jay Gottus, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1609987213

Mr. Michael Jay Gottus, PHYSICIANASSISTANT is a Physician Assistant in Colorado Springs, Colorado. Qualified in 1999, 27 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
27
Licensed in
NJ
In the registry since
2006
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1035 Garden Of The Gods Rd Ste 120
Colorado Springs, CO 80907-3416
Phone: (719) 365-3200
Fax: (719) 365-7680
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 425 Jack Martin Blvd, Brick, NJ 08724-7732 — (732) 840-3380

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00179400 (NJ)

Record details

NPI number1609987213
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESJanuary 13, 2023
Certification dateJanuary 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Colorado Springs