OrganizationActive
Optumcare Colorado Medical Group LLC
NPI 1063955425 · General Practice Physician · Colorado Springs, CO
Provider details
- NPI number
- 1063955425
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Emily Castillo, Assoc Director Credentialing(702) 579-3253
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2405 Research Pkwy
Colorado Springs, CO 80920-1044
Phone: (719) 268-2800
Fax: (719) 268-2824
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 35380
Las Vegas, NV 89133-5380
Other names (DBA / former)
- Former legal business name
- Colorado Springs Health Partners LLC
- Former legal business name
- Davita Medical Group Colorado Springs LLC
- Doing business as
- Optum Colorado Springs - Briargate
- Former legal business name
- Optumcare Colorado Springs LLC
Registry dates
- Enumerated
- 2016-12-02
- Last updated
- 2024-08-20
- Certified
- 2024-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.