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COPPERLEAF CLINIC - PRIMARY CARE
NPI 1073223053
Family Medicine in Aurora, CO

Active since November 30, 2022CLIA 06D2197251 · Waiver
21750 E QUINCY AVE, AURORA, CO 80015(303) 812-6880(303) 812-5173 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2024, Jan 3, 2024, Nov 30, 2022 (3 updates tracked since 2022).

About Copperleaf Clinic - Primary Care NPPES

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

COPPERLEAF CLINIC - PRIMARY CARE (NPI 1073223053) is a healthcare organization registered as a family medicine in Aurora, Colorado and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through October 21, 2026 and lists Jon Mcdaniel, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1073223053
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Location Address21750 E QUINCY AVEAurora, CO 80015-2894
Mailing Address500 Eldorado Blvd Ste 4300Broomfield, CO 80021-3564 · (303) 272-0566
Phone(303) 812-6880
Fax(303) 812-5173
Organization SubpartYesParent: Intermountain Front Range, Inc.
Authorized OfficialJon McdanielVp Finance · (303) 272-0231
Enumeration DateNovember 30, 2022
Last NPPES UpdateJune 28, 20243 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1073223053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
21750 E QUINCY AVE, Aurora, CO 80015
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Other Names 1

Doing Business AsCopperleaf Clinic - Primary Care

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 06D2197251

Copperleaf Clinic - Primary Care · Aurora, CO
Active · expires Oct 21, 2026
CLIA Number06D2197251
Laboratory TypePhysician Office
Certificate Effective DateOctober 22, 2024
Certificate Expiration DateOctober 21, 2026
Laboratory DirectorDr. Kari Pagano
Laboratory Phone(303) 812-6880
Laboratory LocationCopperleaf Clinic - Primary Care21750 E Quincy Ave, Aurora, CO 80015
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

KARI FREEMAN PAGANO M.D
Family Medicine
21750 E QUINCY AVE
AURORA, CO 80015
Arapahoe County (303) 812-6880
MICHELLE WHALEN
Counselor (Mental Health)
21750 E QUINCY AVE
AURORA, CO 80015
Arapahoe County (303) 812-5173
PIOTR BARNAS MD
Internal Medicine
21750 E QUINCY AVE
AURORA, CO 80015
Arapahoe County (303) 812-6880
MEGAN REIMERS LCSW
Social Worker (Clinical)
21750 E QUINCY AVE
AURORA, CO 80015
Arapahoe County (303) 812-6880

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 1073223053. It was assigned to this organization in the NPPES registry on November 30, 2022. The provider is doing business as Copperleaf Clinic - Primary Care.

Where is Intermountain Medical Group Denver, LLC located?

Intermountain Medical Group Denver, LLC is located at 21750 E Quincy Ave, Aurora, CO 80015. The listed phone number is (303) 812-6880.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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

Yes. A Certificate of Waiver (number 06D2197251) is associated with this NPI, valid through October 21, 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.