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OPTUMCARE COLORADO MEDICAL GROUP LLC
NPI 1225669518
Pediatrics in Colorado Springs, CO

Active since January 27, 2020
6071 E WOODMEN RD STE 105, COLORADO SPRINGS, CO 80923(719) 597-8704(719) 597-6864 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 20, 2024, Jan 27, 2020 (2 updates tracked since 2020).

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 1225669518), doing business as Davita Medical Group Colorado Springs, Llc, is a healthcare organization registered as a pediatrics in Colorado Springs, Colorado and active in the NPI registry since January 2020. The organization lists Emily Castillo, Associate Director Credentialing, as its authorized official.

NPPES Registry Identity

NPI1225669518
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameOPTUMCARE COLORADO MEDICAL GROUP LLC
Location Address6071 E WOODMEN RD STE 105Colorado Springs, CO 80923-2610
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3203 · Fax (719) 538-2990
Phone(719) 597-8704
Fax(719) 597-6864
Organization SubpartYes
Authorized OfficialEmily CastilloAssociate Director Credentialing · (702) 579-3253
Enumeration DateJanuary 27, 2020
Last NPPES UpdateAugust 20, 20242 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1225669518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6071 E WOODMEN RD STE 105, Colorado Springs, CO 80923
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Other Names 3

Former Legal Business NameDavita Medical Group Colorado Springs, Llc
Doing Business AsOptum Colorado Springs - Mvmg Pediatric Specialist
Former Legal Business NameMountain View Medical Group

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 5

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

DR. AUSTIN MAURICE VANDEBERG M.D.
Pediatrics
6071 E WOODMEN RD STE 105
COLORADO SPRINGS, CO 80923
El Paso County (719) 597-8704
NICOLE MCKINNEY MD
Pediatrics
6071 E WOODMEN RD STE 105
COLORADO SPRINGS, CO 80923
El Paso County (719) 597-8704
MS. LINDSY JENNIFER ENGLERT D.O.
Pediatrics
6071 E WOODMEN RD STE 105
COLORADO SPRINGS, CO 80923
El Paso County (719) 597-8704
SARAH ALEXIS BIRCH DNP, APRN, CPNP-PC
Nurse Practitioner (Pediatrics)
6071 E WOODMEN RD STE 105
COLORADO SPRINGS, CO 80923
El Paso County (719) 597-8704
MR. FORREST KYLE STEWART PA-C
Physician Assistant (Medical)
6071 E WOODMEN RD STE 105
COLORADO SPRINGS, CO 80923
El Paso County (719) 597-8704

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 1225669518. It was assigned to this organization in the NPPES registry on January 27, 2020. The provider is doing business as Optum Colorado Springs - MVMG Pediatric Specialist. The provider was formerly known as Davita Medical Group Colorado Springs, LLC and Mountain View Medical Group.

Where is Optumcare Colorado Medical Group LLC located?

Optumcare Colorado Medical Group LLC is located at 6071 E Woodmen Rd Ste 105, Colorado Springs, CO 80923. The listed phone number is (719) 597-8704.

What is Optumcare Colorado Medical Group LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.