South Denver Internal Medicine and Pediatrics, P.C.
NPI 1376671628 · Primary Care Clinic/Center · Lone Tree, CO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Denver Internal Medicine and Pediatrics, P.C. is a Primary Care Clinic/Center organization in Lone Tree, CO (NPI 1376671628).
Provider details
- NPI number
- 1376671628
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Miranda, President(303) 799-8890
- License
- 33478 (CO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2010-02-08
Frequently asked questions
- What is South Denver Internal Medicine and Pediatrics, P.C.'s NPI number?
- South Denver Internal Medicine and Pediatrics, P.C.'s National Provider Identifier (NPI) is 1376671628, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Denver Internal Medicine and Pediatrics, P.C.?
- South Denver Internal Medicine and Pediatrics, P.C. is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is South Denver Internal Medicine and Pediatrics, P.C. located?
- South Denver Internal Medicine and Pediatrics, P.C.'s practice location on file with NPPES is 10103 Ridgegate Pkwy, Lone Tree, CO 80124-5520.
- What is South Denver Internal Medicine and Pediatrics, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for South Denver Internal Medicine and Pediatrics, P.C. is (303) 799-8890.
- Does South Denver Internal Medicine and Pediatrics, P.C. accept Medicare?
- South Denver Internal Medicine and Pediatrics, P.C. 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 South Denver Internal Medicine and Pediatrics, P.C.?
- The authorized official listed on South Denver Internal Medicine and Pediatrics, P.C.'s NPPES record is Charles Miranda, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Denver Internal Medicine and Pediatrics, P.C.'s NPI active?
- Yes — South Denver Internal Medicine and Pediatrics, P.C.'s NPI (1376671628) is active in the NPPES registry as of the last update on 2010-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.