NPIMap

Organization Active NPI

Intermountain Medical Group Denver, LLC.

Doing business as Intermountain Health Mile High Clinic - Urology

  • Urology Physician
  • Denver, CO
National Provider Identifier
1972436889
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC.
Doing business as
Intermountain Health Mile High Clinic - Urology
Practice address
2777 Mile High Stadium Cir Ste 210
Denver, CO 80211-5222
Phone
(303) 403-6590
NPI assigned
Jun 8, 2026
Last updated
Jun 8, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
INTERMOUNTAIN FRONT RANGE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Christopher Awtrey, MD
Title
Associate Chief Medical Officer
Phone
(303) 272-0756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

2777 Mile High Stadium Cir Ste 210
Denver, CO 80211-5222

Mailing address

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

Other names 1

  • Intermountain Health Mile High Clinic - Urology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Intermountain Medical Group121 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations

2777 Mile High Stadium Cir
Ste 210
Denver, CO 80211

NPI Registry JSON

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

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1972436889",
    "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": "303-272-0566",
            "fax_number": "303-272-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 MILE HIGH STADIUM CIR STE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802115222",
            "telephone_number": "303-403-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN MEDICAL GROUP DENVER, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERMOUNTAIN FRONT RANGE, INC.",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "AWTREY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "ASSOCIATE CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "303-272-0756",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intermountain Health Mile High Clinic - Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.