NPIMap

Organization Active NPI

Alpine Medical Group Colorado PLLC

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1235012162
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALPINE MEDICAL GROUP COLORADO PLLC
Practice address
104 Pro Rodeo Dr
Colorado Springs, CO 80919-2334
Phone
(719) 632-4455
Fax
(360) 462-5181
NPI assigned
Jul 29, 2025
Organization subpart
Yes
Parent organization
ALPINE MEDICAL GROUP COLORADO PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tracey J Baughey
Title
Director of Credentialing
Phone
(267) 981-6519

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

104 Pro Rodeo Dr
Colorado Springs, CO 80919-2334

Mailing address

999 17TH St Ste 500
Denver, CO 80202-2728
Phone (719) 632-4455

Other names 1

  • MVMG Rockrimmon Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D1025552Alpine Medical Group Colorado PLLC104 Pro Rodeo Drive, Suite 100, Colorado Springs, CO 80919Certificate of waiverMay 10, 2028

National Provider Directory

National Provider Directory
Tax ID family
Alpine Med Group Co PLLC30 organizations share this tax ID, including this one
Part of
Alpine Med Group Co PLLC

Other organizations with this tax ID 29

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

View all 29

Locations

104 Pro Rodeo Dr
Ste 100
Colorado Springs, CO 80919
Phone (719) 522-0707

104 Pro Rodeo Dr
Colorado Springs, CO 80919
Phone (719) 522-0707

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1235012162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 17TH ST STE 500",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802022728",
            "telephone_number": "719-632-4455",
            "fax_number": "360-462-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PRO RODEO DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192334",
            "telephone_number": "719-632-4455",
            "fax_number": "360-462-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE MEDICAL GROUP COLORADO PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALPINE MEDICAL GROUP COLORADO PLLC",
        "enumeration_date": "2025-07-29",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "BAUGHEY",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "267-981-6519"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MVMG Rockrimmon",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.