INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
NPI 1093538837
Family Medicine - Addiction Medicine in Grand Junction, CO
About Intermountain Medical Group Grand Junction, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC (NPI 1093538837), doing business as Grand Junction Integrative Addiction Medicine Clinic, is a healthcare organization registered as an addiction medicine in Grand Junction, Colorado and active in the NPI registry since October 2024. The organization lists Jon Mcdaniel, Vp Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
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 Medical Group Grand Junction, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
438Medicare enrollment records show 438 clinicians reassign Medicare billing to Intermountain Medical Group Grand Junction, LLC, which bills Medicare for the services they deliver. Of these, 44 practice at this address and 175 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 45
Nearest to this location (20)
See all 438Grand Junction, CO 81506
Grand Junction, CO 81506
Grand Junction, CO 81506
Grand Junction, CO 81506
Grand Junction, CO 81506
Grand Junction, CO 81506
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Grand Junction, LLC's NPI number?
The NPI number for Intermountain Medical Group Grand Junction, LLC is 1093538837. It was assigned to this organization in the NPPES registry on October 31, 2024. The provider is doing business as Grand Junction Integrative Addiction Medicine Clinic.
Where is Intermountain Medical Group Grand Junction, LLC located?
Intermountain Medical Group Grand Junction, LLC is located at 2643 Patterson Rd Ste 603, Grand Junction, CO 81506. The listed phone number is (970) 298-3801.
What is Intermountain Medical Group Grand Junction, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.
Is Intermountain Medical Group Grand Junction, LLC enrolled in Medicare?
Yes. Intermountain Medical Group Grand Junction, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Intermountain Medical Group Grand Junction, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 438 clinicians in 45 Medicare specialties reassign their Medicare billing to Intermountain Medical Group Grand Junction, 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 Nurse Practitioner (71), Internal Medicine (44) and Family Practice (39). Of these, 44 practice at this address and 175 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Intermountain Medical Group Grand Junction, LLC was last updated on October 31, 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.
# Intermountain Medical Group Grand Junction, Llc · NPI 1093538837
Addiction Medicine organization in Grand Junction, Colorado. Organization record, active in the CMS NPPES registry since October 31, 2024.
## Identity
- **NPI:** 1093538837 (Entity type: Organization)
- **Enumerated:** October 31, 2024
- **Primary specialty:** Family Medicine - Addiction Medicine · taxonomy 207QA0401X
- **Also known as:** Grand Junction Integrative Addiction Medicine Clinic (Doing Business As)
- **Organization subpart:** Yes (part of Intermountain Front Range, Inc)
- **Authorized official:** Jon Mcdaniel, VP FINANCE
## Practice location
- **Address:** 2643 PATTERSON RD STE 603, Grand Junction, CO 81506-1937
- **Phone:** (970) 298-3801 · **Fax:** (970) 232-2660
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 438 clinicians in 45 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (71), Internal Medicine (44), Family Practice (39); 44 practice at this address and 175 within 10 miles; [full list](https://npiprofile.com/npi/1093538837/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1093538837) · Data from the CMS NPPES public registry.