Intermountain Medical Group Denver, LLC
NPI 1083021083 · Family Medicine Physician · Denver, CO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Intermountain Medical Group Denver, LLC is a Family Medicine Physician organization in Denver, CO (NPI 1083021083).
Provider details
- NPI number
- 1083021083
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Intermountain Front Range, Inc.
- Organization subpart
- Yes
- Authorized official
- Jon Mcdaniel, Vp Finance - Mgps Operations(303) 272-0231
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Mammography Clinic/Center261QR0206X
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
- Emergency Medicine Physician207P00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
13 documented practice locations
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
Mailing address
Additional practice locations (12)
- 2055 W 136th Ave Unit B118Broomfield, CO 80023-9308Phone: (303) 673-1570Fax: (303) 673-1331
- 500 Eldorado Blvd Ste 4250Broomfield, CO 80021-3408Phone: (855) 851-4127Fax: (303) 272-0390
- 12169 Sheridan BlvdBroomfield, CO 80020-2459Phone: (303) 603-9400Fax: (303) 603-9420
- 8350 Colorado Blvd Unit 160Firestone, CO 80504-6803Phone: (303) 689-5160Fax: (303) 689-5175
- 300 Exempla Cir Ste 310Lafayette, CO 80026-3394Phone: (303) 689-6420Fax: (303) 689-6430
- 12790 W Alameda Pkwy Ste aLakewood, CO 80228-2850Phone: (303) 403-6350Fax: (303) 403-6372
- 325 S Teller St Ste 250Lakewood, CO 80226-7429Phone: (303) 403-6600Fax: (303) 403-6493
- 16570 Washington St
Registry dates
- Enumerated
- 2014-07-22
- Last updated
- 2026-03-26
- Certified
- 2026-03-26
Frequently asked questions
- What is Intermountain Medical Group Denver, LLC's NPI number?
- Intermountain Medical Group Denver, LLC's National Provider Identifier (NPI) is 1083021083, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Intermountain Medical Group Denver, LLC?
- Intermountain Medical Group Denver, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Intermountain Medical Group Denver, LLC located?
- Intermountain Medical Group Denver, LLC's practice location on file with NPPES is 1960 N Ogden St Ste 110, Denver, CO 80218-3667.
- What is Intermountain Medical Group Denver, LLC's phone number?
- The practice phone number listed in the NPPES registry for Intermountain Medical Group Denver, LLC is (303) 318-2460.
- Does Intermountain Medical Group Denver, LLC accept Medicare?
- Intermountain Medical Group Denver, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Intermountain Medical Group Denver, LLC?
- The authorized official listed on Intermountain Medical Group Denver, LLC's NPPES record is Jon Mcdaniel, Vp Finance - Mgps Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Intermountain Medical Group Denver, LLC's NPI active?
- Yes — Intermountain Medical Group Denver, LLC's NPI (1083021083) is active in the NPPES registry as of the last update on 2026-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.