OPTUMCARE COLORADO MEDICAL GROUP LLC
NPI 1164289732
Family Medicine in Golden, CO

Active since February 29, 2024
110 N RUBEY DR UNIT 200, GOLDEN, CO 80403(303) 376-0975(303) 731-3500 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 1164289732), doing business as Table Mountain Family Medicine, is a healthcare organization registered as a family medicine in Golden, Colorado and active in the NPI registry since February 2024. The organization lists Emily Castillo, Regional Medical Staff Manager, as its authorized official.

NPPES Registry Identity

NPI1164289732
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOPTUMCARE COLORADO MEDICAL GROUP LLC
Location Address110 N RUBEY DR UNIT 200Golden, CO 80403-3201
Mailing Address2 S Cascade Ave Ste 140Colorado Springs, CO 80903-1604 · (719) 538-2900 · Fax (719) 538-2990
Fax(303) 731-3500
Organization SubpartNo
Authorized OfficialEmily CastilloRegional Medical Staff Manager · (702) 579-3253
Enumeration DateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
NPI 1164289732 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.
110 N RUBEY DR UNIT 200, Golden, CO 80403

Other Names 1

Doing Business AsTable Mountain Family Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

Clinical Medical Laboratory
110 N RUBEY DR UNIT 200
GOLDEN, CO 80403
Physician Assistant
110 N RUBEY DR UNIT 200
GOLDEN, CO 80403
Family Medicine
110 N RUBEY DR UNIT 200
GOLDEN, CO 80403
Family Medicine
110 N RUBEY DR UNIT 200
GOLDEN, CO 80403
Physician Assistant
110 N RUBEY DR UNIT 200
GOLDEN, CO 80403
Nurse Practitioner (Family)
110 N RUBEY DR UNIT 200
GOLDEN, CO 80403
Internal Medicine
110 N RUBEY DR UNIT 200
GOLDEN, CO 80403

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 1164289732. It was assigned to this organization in the NPPES registry on February 29, 2024. The provider is doing business as Table Mountain Family Medicine.

Where is Optumcare Colorado Medical Group LLC located?

Optumcare Colorado Medical Group LLC is located at 110 N Rubey Dr Unit 200, Golden, CO 80403. The listed phone number is (303) 376-0975.

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 February 29, 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.