Active NPI
Lori Wertheimer, MD
- Pediatrics Physician
- Monument, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 31067
- Practice address
- 192 Front St
Monument, CO 80132-6738 - Phone
- (719) 488-6998
- Fax
- (719) 488-8270
- NPI assigned
- Jun 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 31067 | CO | Primary |
Addresses
Primary practice location
192 Front St
Monument, CO 80132-6738
Mailing address
192 Front St
Monument, CO 80132-6738
Phone (719) 488-6998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01310671 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31067 | CO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Optumcare Colorado Medical Group LLC | Current | Accepting new patients | |
| Optumcare Colorado Medical Group LLC | Current | Accepting new patients | |
| Mountain View Medical Group, PC | Past | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148
8890 N Union Blvd
Ste 220
Colorado Springs, CO 80920
Phone (719) 574-9191
9480 Briar Village Pt
Ste 200
Colorado Springs, CO 80920
Phone (719) 278-3627
8890 N Union Blvd
Ste 200
Colorado Springs, CO 80920
Phone (719) 548-0700
15909 Jackson Creek Pkwy
Monument, CO 80132
Phone (719) 481-0899
Interoperability endpoints
- https://api.platform.athenahealth.com/1928/brand/1/csg/62/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1972543965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "192 FRONT ST",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801326738",
"telephone_number": "719-488-6998",
"fax_number": "719-488-8270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "192 FRONT ST",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801326738",
"telephone_number": "719-488-6998",
"fax_number": "719-488-8270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERTHEIMER",
"first_name": "LORI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "31067",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01310671",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monument, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.