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INTERMOUNTAIN HEALTH HEART & VASCULAR - EAST CROSSROADS
NPI 1053189472
Internal Medicine - Cardiovascular Disease in Aurora, CO

Active since December 14, 2023CLIA 06D2314008 · Waiver
23750 E 14TH AVE, SUITE 330, AURORA, CO 80018(303) 812-5250(303) 272-0272 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 28, 2024, Jun 6, 2024, Dec 14, 2023 (3 updates tracked since 2023).

About Intermountain Health Heart & Vascular - East Crossroads NPPES

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

INTERMOUNTAIN HEALTH HEART & VASCULAR - EAST CROSSROADS (NPI 1053189472) is a healthcare organization registered as a cardiovascular disease in Aurora, Colorado and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through November 11, 2026 and lists Jon Mcdaniel, Vp Finance Medical Group, as its authorized official.

NPPES Registry Identity

NPI1053189472
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameINTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Location Address23750 E 14TH AVE, SUITE 330Aurora, CO 80018-1975
Mailing Address500 Eldorado Blvd Ste 4300Broomfield, CO 80021-3564 · (303) 272-0566 · Fax (303) 272-0390
Phone(303) 812-5250
Fax(303) 272-0272
Organization SubpartYesParent: Intermountain Front Range, Inc.
Authorized OfficialJon McdanielVp Finance Medical Group · (303) 272-0231
Enumeration DateDecember 14, 2023
Last NPPES UpdateJune 28, 20243 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1053189472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
23750 E 14TH AVE, Aurora, CO 80018
Open in Google Maps ↗

Other Names 1

Doing Business AsIntermountain Health Heart & Vascular - East Crossroads

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Intermountain Health Heart & Vascular - East Crossroads is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,267

Medicare enrollment records show 1,267 clinicians reassign Medicare billing to Intermountain Health Heart & Vascular - East Crossroads, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 103 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 46

Physical Therapist in Private Practice428
Nurse Practitioner134
Family Practice115
Internal Medicine81
Obstetrics/Gynecology67
Emergency Medicine55
Hospitalist51
Cardiovascular Disease (Cardiology)40
38 other specialties296

Nearest to this location (20)

See all 1,267
Rachel Decosta, FNP
Nurse Practitioner
NPI 1184117400
23750 E 14TH AVE STE 250
Aurora, CO 80018
(303) 812-5200
✔ PECOS✔ Accepts MedicareSame address
Christopher Fischer, AGPCNP-BC
Nurse Practitioner
NPI 1184392722
23750 E 14TH AVE STE 250
Aurora, CO 80018
(303) 812-5200
✔ PECOS✔ Accepts MedicareSame address
Madison Desalvo, FNP-C
Nurse Practitioner
NPI 1699524967
4859 YAMPA ST
Denver, CO 80249
(303) 812-3940
✔ PECOS✔ Accepts Medicare4.8 mi
Yuliya Hartenbower, DO
Family Practice
NPI 1326788449
4859 YAMPA ST
Denver, CO 80249
(303) 812-3940
✔ PECOS✔ Accepts Medicare4.8 mi
Jacquelyn Hughes, PT, DPT
Physical Therapist in Private Practice
NPI 1215460977
656 DILLON WAY
Aurora, CO 80011
(724) 272-0011
✔ Accepts Medicare5.8 mi
Meghan Taylor, M.D.
Family Practice
NPI 1821388729
1080 S SABLE BLVD
Aurora, CO 80012
(303) 552-9577
✔ PECOS6.4 mi
Chelsey Kimball
Nurse Practitioner
NPI 1831742766
13123 E 16TH AVE
Aurora, CO 80045
(720) 777-1234
✔ PECOS6.6 mi
Jessa Hoffman, MD
Neurosurgery
NPI 1558868430
13001 E 17TH PL
Aurora, CO 80045
(303) 724-5000
✔ PECOS✔ Accepts Medicare6.7 mi
August Longino, MD
Internal Medicine
NPI 1215566534
13001 E 17TH PL
Aurora, CO 80045
(303) 724-1784
✔ PECOS6.7 mi
Teresa Harper, MD
Obstetrics/Gynecology
NPI 1164488045
1635 AURORA CT
Aurora, CO 80045
(720) 848-0000
✔ PECOS6.8 mi
Hyeongdo Kim
Preventive Medicine
NPI 1477837383
13001 E 17TH PL UNIVERSITY OF COLORADO SCHOOL OF MEDICINE GME
Aurora, CO 80045
(303) 724-9593
✔ PECOS6.8 mi
Jason Lambden, MD
Hematology/Oncology
NPI 1699235721
13001 E 17TH PL # N4223
Aurora, CO 80045
(303) 724-6031
✔ PECOS6.8 mi
Heather Brooks, MD
Endocrinology
NPI 1184637456
1635 AURORA CT
Aurora, CO 80045
(720) 848-0000
✔ PECOS✔ Accepts Medicare6.9 mi
Robert Hamilton, Iii, M.D.
Neurology
NPI 1295115178
1635 AURORA CT
Aurora, CO 80045
(720) 848-2080
✔ PECOS✔ Accepts Medicare6.9 mi
Neko Upson, CNM
Certified Nurse Midwife (CNM)
NPI 1437130101
12605 E 16TH AVE
Aurora, CO 80045
(720) 848-0000
✔ PECOS✔ Accepts Medicare6.9 mi
Daniel Groves, M.D.
Cardiovascular Disease (Cardiology)
NPI 1033345426
12605 E 16TH AVE
Aurora, CO 80045
(720) 848-5300
✔ PECOS✔ Accepts Medicare7.0 mi
Graham Mccracken, MD
Hospitalist
NPI 1558823054
12605 E 16TH AVE
Aurora, CO 80045
(720) 848-0000
✔ PECOS✔ Accepts Medicare7.0 mi
Nadia Khosrodad, MD
Hospice/Palliative Care
NPI 1477047587
12605 E 16TH AVE
Aurora, CO 80045
(720) 848-0000
✔ PECOS✔ Accepts Medicare7.0 mi
Jon Matsumura, MD
Vascular Surgery
NPI 1861426132
12605 E 16TH AVE
Aurora, CO 80045
(720) 848-0000
✔ PECOS✔ Accepts Medicare7.0 mi
John West, M.D.
Cardiac Electrophysiology
NPI 1770663924
12605 E 16TH AVE
Aurora, CO 80045
(720) 848-0000
✔ PECOS✔ Accepts Medicare7.0 mi
See all 1,267 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 06D2314008

Intermountain Health Heart And Vascular East Crossroads · Aurora, CO
Active · expires Nov 11, 2026
CLIA Number06D2314008
Laboratory TypePhysician Office
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorChristopher Cannon
Laboratory Phone(303) 272-0500
Laboratory LocationIntermountain Health Heart And Vascular East Crossroads23750 E 14th Ave, Suite 310, Aurora, CO 80018
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 Intermountain Medical Group Denver, LLC's NPI number?

The NPI number for Intermountain Medical Group Denver, LLC is 1053189472. It was assigned to this organization in the NPPES registry on December 14, 2023. The provider is doing business as Intermountain Health Heart & Vascular - East Crossroads.

Where is Intermountain Medical Group Denver, LLC located?

Intermountain Medical Group Denver, LLC is located at 23750 E 14th Ave Suite 330, Aurora, CO 80018. The listed phone number is (303) 812-5250.

What is Intermountain Medical Group Denver, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Intermountain Medical Group Denver, LLC enrolled in Medicare?

Yes. Intermountain Medical Group Denver, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Intermountain Medical Group Denver, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,267 clinicians in 46 Medicare specialties reassign their Medicare billing to Intermountain Medical Group Denver, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (428), Nurse Practitioner (134) and Family Practice (115). Of these, 2 practice at this address and 103 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Intermountain Medical Group Denver, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2314008) is associated with this NPI, valid through November 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Intermountain Medical Group Denver, LLC was last updated on June 28, 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.