OPTUMCARE COLORADO MEDICAL GROUP LLC – NPI #1811430283
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

OPTUMCARE COLORADO MEDICAL GROUP LLC is a provider located in COLORADO SPRINGS, CO. NPPES has assigned the NPI number 1811430283 to OPTUMCARE COLORADO MEDICAL GROUP LLC on December 02, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is OPTUMCARE COLORADO SPRINGS LLC. The NPI data also shows multiple names associated with this provider such as Colorado Springs Health Partners LLC and 3 other listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Aug 20, 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 OPTUMCARE COLORADO MEDICAL GROUP LLC below.

NPI Profile for
OPTUMCARE COLORADO MEDICAL GROUP LLC

NPI Number
1811430283
Enumeration Date

(more than 9 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
Former Legal Business Name: OPTUMCARE COLORADO SPRINGS LLC
Other name(s)
All associated names:
Former Legal Business Name
Colorado Springs Health Partners LLC
Former Legal Business Name
DaVita Medical Group Colorado Springs LLC
Doing Business As (dba)
Optum Colorado Springs Southwest
Former Legal Business Name
OPTUMCARE COLORADO SPRINGS LLC
Primary location
2610 TENDERFOOT HILL ST
COLORADO SPRINGS, CO 80906-3981
Phone: (719) 226-8700 Fax: (719) 226-8709
Mailing address
PO BOX 35380
LAS VEGAS, NV 89133-5380
Phone: (719) 463-5600 Fax: (719) 538-2990
Organization Subpart
No
Authorized Official
EMILY CASTILLO
ASSOCIATE DIRECTOR CREDENTIALING
Phone: (702) 579-3253
Updated
Certification Date
Aug 20, 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
208D00000X
- General Practice (Primary)
208000000X
- Pediatrics
207R00000X
- Internal Medicine
207Q00000X
- Family Medicine

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.