MONUMENT PEDIATRICS
NPI 1013548395
Pediatrics in Monument, CO

Active since January 27, 2020CLIA 06D2288364 · Waiver
17230 JACKSON CREEK PKWY STE 260, MONUMENT, CO 80132(719) 488-6998(719) 488-8270 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2024, Jan 27, 2020 (2 updates tracked since 2020).

About Monument Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONUMENT PEDIATRICS (NPI 1013548395) is a healthcare organization registered as a pediatrics in Monument, Colorado and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through August 23, 2027 and lists David I Cohen, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1013548395
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameOPTUMCARE COLORADO MEDICAL GROUP, LLC
Location Address17230 JACKSON CREEK PKWY STE 260Monument, CO 80132-7305
Mailing Address2 S Cascade Ave Ste 140Colorado Springs, CO 80903-1604 · (719) 538-2990 · Fax (719) 538-2996
Fax(719) 488-8270
Organization SubpartNo
Authorized OfficialDavid I CohenMedical Director · (702) 480-2550
Enumeration DateJanuary 27, 2020
Last NPPES UpdateMarch 7, 20242 updates tracked since enumeration
NPPES CertifiedMarch 7, 2024
NPI 1013548395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
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.
17230 JACKSON CREEK PKWY STE 260, Monument, CO 80132

Other Names 2

Doing Business AsMonument Pediatrics
Former Legal Business NameOptumcare Colorado Springs Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2288364

Monument Pediatrics - A Part Of Optum · Monument, CO
Active · expires Aug 23, 2027
CLIA Number06D2288364
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2025
Certificate Expiration DateAugust 23, 2027
Laboratory DirectorDiana Tapay
Laboratory Phone(719) 488-6998
Laboratory LocationMonument Pediatrics - A Part Of Optum15909 Jackson Creek Parkway, Monument, CO 80132
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
17230 JACKSON CREEK PKWY STE 260
MONUMENT, CO 80132
Orthopaedic Surgery
17230 JACKSON CREEK PKWY STE 260
MONUMENT, CO 80132

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Optumcare Colorado Medical Group, LLC's NPI number?

The NPI number for Optumcare Colorado Medical Group, LLC is 1013548395. It was assigned to this organization in the NPPES registry on January 27, 2020. The provider is doing business as Monument Pediatrics. The provider was formerly known as Optumcare Colorado Springs LLC.

Where is Optumcare Colorado Medical Group, LLC located?

Optumcare Colorado Medical Group, LLC is located at 17230 Jackson Creek Pkwy Ste 260, Monument, CO 80132. The listed phone number is (719) 488-6998.

What is Optumcare Colorado Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Optumcare Colorado Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2288364) is associated with this NPI, valid through August 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Optumcare Colorado Medical Group, LLC was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.