NPIMap

Intermountain Medical Group Denver, LLC

Organization Active NPI Sports Medicine (Orthopaedic Surgery) Physician · Denver, CO

NPI 1083598874 · NPPES record last updated Dec 22, 2025

Key facts

NPI
1083598874
Entity type
Organization (NPI type 2)
Primary specialty
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X
Legal business name
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Practice address
1830 N Franklin St Ste 400
Denver, CO 80218-1128
Phone
(720) 689-9350
Fax
(720) 689-5201
NPI assigned
Aug 4, 2025
Organization subpart
Yes
Parent organization (as reported)
INTERMOUNTAIN FRONT RANGE, INC.

Authorized official

Name
Jon McDaniel
Title
VP Finance
Phone
(303) 272-0231

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 1,353

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 1,353

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in CO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20150106000131 CO Part B Supplier - Clinic/Group Practice 0840513552 Receives reassigned benefits from 1,361 practitioners
This NPI is an additional NPI on the enrollment
O20260121000355 CO DME Supplier - Physician - Orthopedic/Orthopedic Surgery 0840513552 Practice locations: Denver, CO

National Provider Directory

Tax ID family
Intermountain Medical Group Denver LLC (121 organizations share this tax ID)
Part of
Lutheran Medical Center

Locations

23750 E 14th Ave
Ste 240
Aurora, CO 80018
Phone (303) 812-5220

23750 E 14th Ave
Ste 250
Aurora, CO 80018
Phone (303) 812-5200

21750 E Quincy Ave
Aurora, CO 80015
Phone (303) 812-5173

550 S Airport Blvd
Aurora, CO 80017
Phone (303) 318-2460

23750 E 14th Ave
Ste 230
Aurora, CO 80018
Phone (303) 812-5240

23750 E 14th Ave
Ste 220
Aurora, CO 80018
Phone (303) 318-3330

2823 Roslyn St
Denver, CO 80238
Phone (303) 403-6330

1400 Jackson St
Bldg T
Denver, CO 80206
Phone (303) 812-3800

1818 N Ogden St
Ste 400
Denver, CO 80218
Phone (303) 318-2440

63 N Quebec St
Ste 200
Denver, CO 80230
Phone (303) 812-4950

360 S Garfield St
Ste 500
Denver, CO 80209
Phone (303) 318-3520

1960 N Ogden St
Ste 30
Denver, CO 80218
Phone (303) 318-1332

12905 W 40th Ave
Ste 405
Golden, CO 80401
Phone (303) 265-5740

12905 W 40th Ave
Ste 430
Golden, CO 80401
Phone (303) 265-5280

12905 W 40th Ave
Ste 415
Golden, CO 80401
Phone (303) 265-5930

630 Plaza Dr
Ste 110
Highlands Ranch, CO 80129
Phone (303) 376-1747

2600 Campus Dr
Ste A
Lafayette, CO 80026
Phone (303) 665-1900

360 S Teller St
#200
Lakewood, CO 80226
Phone (303) 403-6600

12792 W Alameda Pkwy
Ste C1
Lakewood, CO 80228
Phone (303) 403-6368

8515 W Coal Mine Ave
Ste 240
Littleton, CO 80123
Phone (303) 403-6850

1181 E 120th Ave
Unit A
Thornton, CO 80233
Phone (303) 673-1500

3655 Lutheran Pkwy
Ste 408
Wheat Ridge, CO 80033
Phone (303) 424-8120

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207XX0005X Yes

Addresses

Primary practice location

1830 N Franklin St Ste 400
Denver, CO 80218-1128

Mailing address

500 Eldorado Blvd Ste 4300
Broomfield, CO 80021-3564
Phone (303) 272-0566

Other names

  • Orthopedic Centers of Colorado - Saint Joseph Doing business as

Other providers in Denver, CO

All providers in Denver, CO · Sports Medicine (Orthopaedic Surgery) Physician in Colorado

Sources for this page

Verify at the official NPI Registry.