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OPTUMCARE COLORADO MEDICAL GROUP LLC
NPI 1104242700
Family Medicine in Colorado Springs, CO

Active since March 07, 2014
600 S 21ST ST UNIT 100, COLORADO SPRINGS, CO 80904(719) 522-1133 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 20, 2024, Aug 19, 2019, Mar 15, 2017 and 1 more (4 updates tracked since 2016).

About Optumcare Colorado Medical Group Llc NPPES

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

OPTUMCARE COLORADO MEDICAL GROUP LLC (NPI 1104242700), doing business as Optumcare Colorado Springs Llc, is a healthcare organization registered as a family medicine in Colorado Springs, Colorado and active in the NPI registry since March 2014. The organization lists Emily Castillo, Associate Director Credentialing, as its authorized official.

NPPES Registry Identity

NPI1104242700
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOPTUMCARE COLORADO MEDICAL GROUP LLC
Location Address600 S 21ST ST UNIT 100Colorado Springs, CO 80904-3763
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3203 · Fax (719) 538-2997
Phone(719) 522-1133
Organization SubpartNo
Authorized OfficialEmily CastilloAssociate Director Credentialing · (702) 579-3253
Enumeration DateMarch 7, 2014
Last NPPES UpdateAugust 20, 20244 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1104242700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.

Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedClinic/Center · Emergency CareTaxonomy 261QE0002X
Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X
600 S 21ST ST UNIT 100, Colorado Springs, CO 80904
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Other Names 4

Former Legal Business NameOptumcare Colorado Springs Llc
Doing Business AsOptum Colorado Springs - Roundhouse
Former Legal Business NameColorado Springs Health Partners Llc
Former Legal Business NameDavita Medical Group Colorado Springs Llc

Other Identifiers 1

Medicaid06085288CO

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

Other Providers at the Same Location NPPES

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

DR. WILLIAM A MALABRE MD
Family Medicine
600 S 21ST ST UNIT 100
COLORADO SPRINGS, CO 80904
El Paso County (719) 473-1191

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 1104242700. It was assigned to this organization in the NPPES registry on March 7, 2014. The provider is doing business as Optum Colorado Springs - Roundhouse. The provider was formerly known as Optumcare Colorado Springs LLC, Colorado Springs Health Partners LLC and DaVita Medical Group Colorado Springs LLC.

Where is Optumcare Colorado Medical Group LLC located?

Optumcare Colorado Medical Group LLC is located at 600 S 21st St Unit 100, Colorado Springs, CO 80904. The listed phone number is (719) 522-1133.

What is Optumcare Colorado Medical Group LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Optumcare Colorado Medical Group LLC was last updated on August 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.