NPI 1083021083 · live from the CMS NPI Registry
Intermountain Medical Group Denver, LLC
Family Medicine in Denver, CO. National Provider Identifier 1083021083, active.
NPI record
| NPI | 1083021083 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1960 N Ogden St Ste 110, Denver, CO 80218 |
| Practice phone | 303-318-2460 |
| Mailing address | 500 Eldorado Blvd Ste 4300, Broomfield, CO 80021 |
| Enumerated | July 22, 2014 |
| Last updated | June 10, 2026 |
| Authorized official | Jon Mcdaniel, Vp Finance - Mgps Operations |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology, Maternal & Fetal Medicine | 207VM0101X | — |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | — |
| Neurological Surgery | 207T00000X | — |
| Internal Medicine | 207R00000X | — |
| Obstetrics & Gynecology | 207V00000X | — |
| Orthopaedic Surgery | 207X00000X | — |
| Emergency Medicine | 207P00000X | — |
| Internal Medicine, Hospice and Palliative Medicine | 207RH0002X | — |
| Physical Medicine & Rehabilitation | 208100000X | — |
| Plastic Surgery | 208200000X | — |
| Clinic/Center, Radiology, Mammography | 261QR0206X | — |
| Internal Medicine, Endocrinology, Diabetes & Metabolism | 207RE0101X | — |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | — |
| Internal Medicine, Hematology & Oncology | 207RH0003X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.