OPTUM COLORDO SPRINGS – NPI #1942041603
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

OPTUM COLORDO SPRINGS is a provider located in COLORADO SPRINGS, CO. NPPES has assigned the NPI number 1942041603 to OPTUM COLORDO SPRINGS on June 05, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “OPTUM COLORDO SPRINGS” is a dba name, the actual legal business name for this organization is OPTUMCARE COLORADO MEDICAL GROUP LLC. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was last updated on Aug 22, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OPTUM COLORDO SPRINGS below.

NPI Profile for
OPTUMCARE COLORADO MEDICAL GROUP LLC

NPI Number
1942041603
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OPTUMCARE COLORADO MEDICAL GROUP LLC
Doing Business As (dba): OPTUM COLORDO SPRINGS
Other name(s)
All associated names:
Other Name
Optum ABC Pediatrics
Doing Business As (dba)
OPTUM COLORDO SPRINGS
Primary location
2405 RESEARCH PKWY
COLORADO SPRINGS, CO 80920-1044
Phone: (719) 574-9191 Fax:
Mailing address
PO BOX 35380
LAS VEGAS, NV 89133-5380
Phone: (719) 400-7470 Fax:
Organization Subpart
No
Authorized Official
EMILY CASTILLO
ASSOCIATE DIRECTOR CREDENTIALING
Phone: (702) 579-3253
Updated
Certification Date
Aug 22, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.