Active NPI
Intermountain Medical Group Denver, LLC
- Family Medicine Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
- Practice address
- 1960 N Ogden St Ste 110
Denver, CO 80218-3667 - Phone
- (303) 318-2460
- Fax
- (303) 318-2489
- NPI assigned
- Jul 22, 2014
- Last updated
- Jun 10, 2026
- Organization subpart
- Yes
- Parent organization
- INTERMOUNTAIN FRONT RANGE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jon McDaniel
- Title
- VP Finance - MGPS Operations
- Phone
- (303) 272-0231
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | |||
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | |||
| Hematology & Oncology Physician | 207RH0003X | |||
| Neurological Surgery Physician | 207T00000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Maternal & Fetal Medicine Physician | 207VM0101X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Plastic Surgery Physician | 208200000X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | |||
| Mammography Clinic/Center | 261QR0206X |
Addresses
Primary practice location
1960 N Ogden St Ste 110
Denver, CO 80218-3667
Mailing address
500 Eldorado Blvd Ste 4300
Broomfield, CO 80021-3564
Phone (855) 851-4127
Other practice location 1
325 S Teller St Ste 250
Lakewood, CO 80226-7429
Phone (303) 403-6600
Other practice location 2
16570 Washington St
Thornton, CO 80023-8964
Phone (303) 689-6600
Other practice location 3
1181 E 120th Ave Unit A
Thornton, CO 80233-5729
Phone (303) 673-1500
Other practice location 4
3555 Lutheran Pkwy Ste 180
Wheat Ridge, CO 80033-6000
Phone (303) 403-7933
Other practice location 5
1027 N 27th St
Billings, MT 59101-0711
Phone (406) 237-5110
Other practice location 6
500 Eldorado Blvd Ste 4250
Broomfield, CO 80021-3408
Phone (855) 851-4127
Other practice location 7
2055 W 136th Ave Unit B118
Broomfield, CO 80023-9308
Phone (303) 673-1570
Other practice location 8
12169 Sheridan Blvd
Broomfield, CO 80020-2459
Phone (303) 603-9400
Other practice location 9
3655 Lutheran Pkwy Ste 201
Wheat Ridge, CO 80033-6010
Phone (303) 603-9800
Other practice location 10
300 Exempla Cir Ste 310
Lafayette, CO 80026-3394
Phone (303) 689-6420
Other practice location 11
8350 Colorado Blvd Unit 160
Firestone, CO 80504-6803
Phone (303) 689-5160
Other practice location 12
12790 W Alameda Pkwy Ste A
Lakewood, CO 80228-2850
Phone (303) 403-6350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150106000131 | CO | Part B Supplier - Clinic/Group Practice | 0840513552 | Receives reassigned benefits from 1,361 practitioners |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Orthopedic Centers of Colorado - Saint Joseph
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1083598874
0840513552
-
dba Community Foot & Ankle Clinic - DME
- Foot & Ankle Surgery Podiatrist
- Thornton, CO
- NPI 1730533902
0840513552
-
dba Intermountain Health Connect Care - Primary Care MT
- General Practice Physician
- Billings, MT
- NPI 1669192134
0840513552
National Provider Directory
National Provider Directory- Part of
- Exempla S Bdwy Med CNTR
Locations (25 of 46)
15389 W 91st Dr
Arvada, CO 80007
Phone (303) 603-9300
15389 W 91st Dr
Ste 100
Arvada, CO 80007
Phone (303) 603-9300
21750 E Quincy Ave
Aurora, CO 80015
Phone (303) 812-5173
23750 E 14th Ave
Ste 240
Aurora, CO 80018
Phone (303) 812-5220
550 S Airport Blvd
Aurora, CO 80017
Phone (303) 318-2460
2055 W 136th Ave
Broomfield, CO 80023
2055 W 136th Ave
#B118
Broomfield, CO 80023
2055 W 136th Ave
Ste 118
Broomfield, CO 80023
500 Eldorado Blvd
Ste 4250
Broomfield, CO 80021
Phone (303) 813-5590
7200 S Alton Way
Centennial, CO 80112
Phone (303) 945-7063
1400 Jackson St
Bldg 550
Denver, CO 80206
1400 Jackson St
Ste 550
Denver, CO 80206
Phone (303) 318-3800
1818 N Ogden St
Ste 400
Denver, CO 80218
Phone (303) 318-2440
1960 N Ogden St
Ste 11
Denver, CO 80218
1960 N Ogden St
Ste 120A
Denver, CO 80218
Phone (303) 403-7933
1960 N Ogden St
Ste 520A
Denver, CO 80218
Phone (303) 318-3214
2807 Roslyn St
Denver, CO 80238
Phone (303) 403-6333
835 E 18th Ave
#110
Denver, CO 80218
32135 Castle Ct
Ste 100A
Evergreen, CO 80439
Phone (303) 325-5329
1450 Dexter St
Ste 102
Fort Lupton, CO 80621
Phone (303) 857-7873
12905 W 40th Ave
Ste 305
Golden, CO 80401
Phone (303) 265-5730
12905 W 40th Ave
Ste 430
Golden, CO 80401
Phone (303) 265-5770
2570 Patterson Rd
Grand Junction, CO 81505
Phone (970) 298-6601
300 Exempla Cir
Ste 310
Lafayette, CO 80026
Phone (303) 272-0500
12790 W Alameda Pkwy
Lakewood, CO 80228
Phone (303) 403-6350
Practitioners & affiliated clinicians
Practitioners 1,444
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Aurora, CO
- NPI 1811695356
-
- Specialist
- Englewood, CO
- NPI 1851381487
-
- Physical Therapist
- Boulder, CO
- NPI 1790084317
-
- Cardiovascular Disease Physician
- Brighton, CO
- NPI 1831516848
-
- Family Nurse Practitioner
- Commerce City, CO
- NPI 1306618384
-
- Advanced Heart Failure and Transplant Cardiology Physician
- Denver, CO
- NPI 1912911017
Cardiovascular Disease
-
- Internal Medicine Physician
- Denver, CO
- NPI 1376049387
-
- Physical Therapist
- Commerce City, CO
- NPI 1659096907
-
- Family Medicine Physician
- Lafayette, CO
- NPI 1467492132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781049600000",
"number": "1083021083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 ELDORADO BLVD STE 4300",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800213564",
"telephone_number": "855-851-4127",
"fax_number": "303-272-0390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1960 N OGDEN ST STE 110",
"city": "DENVER",
"state": "CO",
"postal_code": "802183667",
"telephone_number": "303-318-2460",
"fax_number": "303-318-2489"
}
],
"practiceLocations": [
{
"address_1": "325 S Teller St Ste 250",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "CO",
"postal_code": "802267429",
"country_code": "US",
"telephone_number": "303-403-6600",
"fax_number": "303-403-6493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16570 Washington St",
"address_purpose": "LOCATION",
"city": "Thornton",
"state": "CO",
"postal_code": "800238964",
"country_code": "US",
"telephone_number": "303-689-6600",
"fax_number": "303-689-6601",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1181 E 120th Ave Unit A",
"address_purpose": "LOCATION",
"city": "Thornton",
"state": "CO",
"postal_code": "802335729",
"country_code": "US",
"telephone_number": "303-673-1500",
"fax_number": "303-689-6664",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3555 Lutheran Pkwy Ste 180",
"address_purpose": "LOCATION",
"city": "Wheat Ridge",
"state": "CO",
"postal_code": "800336000",
"country_code": "US",
"telephone_number": "303-403-7933",
"fax_number": "303-403-7945",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1027 N 27th St",
"address_purpose": "LOCATION",
"city": "Billings",
"state": "MT",
"postal_code": "591010711",
"country_code": "US",
"telephone_number": "406-237-5110",
"fax_number": "406-206-2152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Eldorado Blvd Ste 4250",
"address_purpose": "LOCATION",
"city": "Broomfield",
"state": "CO",
"postal_code": "800213408",
"country_code": "US",
"telephone_number": "855-851-4127",
"fax_number": "303-272-0390",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2055 W 136th Ave Unit B118",
"address_purpose": "LOCATION",
"city": "Broomfield",
"state": "CO",
"postal_code": "800239308",
"country_code": "US",
"telephone_number": "303-673-1570",
"fax_number": "303-673-1331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12169 Sheridan Blvd",
"address_purpose": "LOCATION",
"city": "Broomfield",
"state": "CO",
"postal_code": "800202459",
"country_code": "US",
"telephone_number": "303-603-9400",
"fax_number": "303-603-9420",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3655 Lutheran Pkwy Ste 201",
"address_purpose": "LOCATION",
"city": "Wheat Ridge",
"state": "CO",
"postal_code": "800336010",
"country_code": "US",
"telephone_number": "303-603-9800",
"fax_number": "303-403-6209",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Exempla Cir Ste 310",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "CO",
"postal_code": "800263394",
"country_code": "US",
"telephone_number": "303-689-6420",
"fax_number": "303-689-6430",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8350 Colorado Blvd Unit 160",
"address_purpose": "LOCATION",
"city": "Firestone",
"state": "CO",
"postal_code": "805046803",
"country_code": "US",
"telephone_number": "303-689-5160",
"fax_number": "303-689-5175",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12790 W Alameda Pkwy Ste A",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "CO",
"postal_code": "802282850",
"country_code": "US",
"telephone_number": "303-403-6350",
"fax_number": "303-403-6372",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "INTERMOUNTAIN MEDICAL GROUP DENVER, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INTERMOUNTAIN FRONT RANGE, INC.",
"enumeration_date": "2014-07-22",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A",
"authorized_official_last_name": "MCDANIEL",
"authorized_official_first_name": "JON",
"authorized_official_title_or_position": "VP FINANCE - MGPS OPERATIONS",
"authorized_official_telephone_number": "303-272-0231"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0206X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mammography",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
- Interfaith Bridge Counseling, PLLC
- Interfaith Bridge Counseling, PLLC
- Rocio Interiano-Navas, MA
- Interim Counseling Solutions, LLC
- Intermountain Medical Group Denver, LLC
- Intermountain Medical Group Denver, LLC (SCL Health Heart & Vascular Institute - Denver Cardiac & Thoracic Surg)
- Intermountain Medical Group Denver, LLC (Orthopedic Centers of Colorado - Saint Joseph)
- Intermountain Medical Group Denver, LLC (Rampart Clinic Neurology & Neuro-Ophthamology)
- Intermountain Medical Group Denver, LLC (SCL Health Medical Group - Central Park OB-GYN)
- Intermountain Medical Group Denver, LLC (Denver MIdtown Clinic - OB-GYN)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.