OrganizationActive

Intermountain Medical Group Denver, LLC

NPI 1083021083 · Family Medicine Physician · Denver, CO

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

Family Medicine PhysicianPrimary207Q00000X
Allopathic & Osteopathic Physicians
Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
Mammography Clinic/Center261QR0206X
Ambulatory Health Care Facilities
Endocrinology, Diabetes & Metabolism Physician207RE0101X
Allopathic & Osteopathic Physicians
Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
Emergency Medicine Physician207P00000X
Allopathic & Osteopathic Physicians
Hospice and Palliative Medicine (Internal Medicine) Physician

Profile Score

Detailed profile(84/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
11 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

1960 N Ogden St Ste 110

Denver, CO 80218-3667

Phone: (303) 318-2460

Fax: (303) 318-2489

Street-level locationGet directions

More CO providers

Mailing address

500 Eldorado Blvd Ste 6250

Broomfield, CO 80021-3421

Additional practice locations (12)

12169 Sheridan Blvd
Broomfield, CO 80020-2459
Phone: (303) 603-9400
Fax: (303) 603-9420
2055 W 136th Ave Unit B118
Broomfield, CO 80023-9308
Phone: (303) 673-1570
Fax: (303) 673-1331
500 Eldorado Blvd Ste 4250
Broomfield, CO 80021-3408
Phone: (855) 851-4127
Fax: (303) 272-0390
8350 Colorado Blvd Unit 160
Firestone, CO 80504-6803
Phone: (303) 689-5160
Fax: (303) 689-5175
300 Exempla Cir Ste 310
Lafayette, CO 80026-3394
Phone: (303) 689-6420
Fax: (303) 689-6430
12790 W Alameda Pkwy Ste a
Lakewood, CO 80228-2850
Phone: (303) 403-6350
Fax: (303) 403-6372
325 S Teller St Ste 250
Lakewood, CO 80226-7429
Phone: (303) 403-6600
Fax: (303) 403-6493
16570 Washington St

Enumerated: 2014-07-22
Last updated: 2026-03-26
Certified: 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.