OrganizationActive
Intermountain Medical Group Denver, LLC
NPI 1962397828 · Infectious Disease Physician · Billings, MT
Provider details
- NPI number
- 1962397828
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Intermountain Front Range, Inc.
- Organization subpart
- Yes
- Authorized official
- Jon Mcdaniel, Vp Finance(303) 272-0231
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
1027 N 27th St
Billings, MT 59101-0711
Phone: (801) 442-2647
Street-level locationGet directions
Mailing address
500 Eldorado Blvd Ste 4300
Broomfield, CO 80021-3564
Other names (DBA / former)
- Doing business as
- Intermountain Health Connect Care - High Risk Cancer Prevention Mt
- Doing business as
- Intermountain Health Connect Care - High Risk Cancer Prevention Wy
- Doing business as
- Intermountain Health Connect Care - Pain Management Mt
- Doing business as
- Intermountain Health Connect Care - Pain Management Wy
- Doing business as
- Intermountain Health Connect Care - Specialty Mt
- Doing business as
- Intermountain Health Connect Care - Specialty Wy
Additional practice locations (1)
- 424 Yellowstone Ave Ste 130Cody, WY 82414-9309Phone: (801) 442-5502
Registry dates
- Enumerated
- 2025-06-11
- 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.