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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: August 09, 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

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.

Other Providers at the Same Location NPPES 8

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

ACTION BEHAVIOR CENTERS THERAPY LLC
Behavior Analyst
23750 E 14TH AVE
AURORA, CO 80018
Arapahoe County (970) 900-7054
ACTION BEHAVIOR CENTERS THERAPY LLC
Psychologist
23750 E 14TH AVE
AURORA, CO 80018
Arapahoe County (970) 900-7054
ACTION BEHAVIOR CENTERS, LLC
Psychologist
23750 E 14TH AVE
AURORA, CO 80018
Arapahoe County (970) 900-7054
ACTION BEHAVIOR CENTERS, LLC
Behavior Analyst
23750 E 14TH AVE
AURORA, CO 80018
Arapahoe County (970) 900-7054
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Podiatrist (Primary Podiatric Medicine)
23750 E 14TH AVE, SUITE 220
AURORA, CO 80018
Arapahoe County (303) 812-5230
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Surgery
23750 E 14TH AVE, SUITE 240
AURORA, CO 80018
Arapahoe County (303) 812-5220
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Orthopaedic Surgery
23750 E 14TH AVE, SUITE 230
AURORA, CO 80018
Arapahoe County (303) 812-5240
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Family Medicine
23750 E 14TH AVE, SUITE 250
AURORA, CO 80018
Arapahoe County (303) 812-5200

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.

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.