INTERMOUNTAIN HEALTH - BUCKLEY PRIMARY CARE
NPI 1275213993
Family Medicine in Aurora, CO

Active since July 18, 2023CLIA 06D2289099 · Waiver
550 S AIRPORT BLVD, AURORA, CO 80017(303) 812-5350 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 28, 2024, Jul 18, 2023 (2 updates tracked since 2023).

About Intermountain Health - Buckley Primary Care NPPES

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

INTERMOUNTAIN HEALTH - BUCKLEY PRIMARY CARE (NPI 1275213993) is a healthcare organization registered as a family medicine in Aurora, Colorado and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through September 5, 2027 and lists Jon Mcdaniel, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1275213993
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Location Address550 S AIRPORT BLVDAurora, CO 80017-2253
Mailing Address500 Eldorado Blvd Ste 4300Broomfield, CO 80021-3564 · (303) 272-0566
Organization SubpartYesParent: Intermountain Front Range, Inc.
Authorized OfficialJon McdanielVp Finance · (303) 272-0231
Enumeration DateJuly 18, 2023
Last NPPES UpdateJune 28, 20242 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1275213993 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.
550 S AIRPORT BLVD, Aurora, CO 80017

Other Names 1

Doing Business AsIntermountain Health - Buckley 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

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 Health - Buckley Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,267

Medicare enrollment records show 1,267 clinicians reassign Medicare billing to Intermountain Health - Buckley Primary Care, which bills Medicare for the services they deliver. Of these, 224 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 46

Physical Therapist in Private Practice428
Nurse Practitioner134
Family Practice115
Internal Medicine81
Obstetrics/Gynecology67
Emergency Medicine55
Hospitalist51
Cardiovascular Disease (Cardiology)40
38 other specialties296

Nearest to this location (20)

See all 1,267
Physical Therapist in Private Practice
NPI 1649630641
1302 S CHAMBERS RD # 130
Aurora, CO 80017
(303) 880-8095
✔ Accepts Medicare1.4 mi
Family Practice
NPI 1821388729
1080 S SABLE BLVD
Aurora, CO 80012
(303) 552-9577
✔ PECOS1.7 mi
Certified Nurse Midwife (CNM)
NPI 1841219516
1400 S POTOMAC ST #225
Aurora, CO 80012
(303) 873-5245
✔ PECOS2.4 mi
Obstetrics/Gynecology
NPI 1093003196
1400 S POTOMAC ST STE 220
Aurora, CO 80012
(303) 690-2198
✔ PECOS✔ Accepts Medicare2.4 mi
Cardiovascular Disease (Cardiology)
NPI 1417912460
1444 S POTOMAC ST
Aurora, CO 80012
(303) 750-0822
✔ PECOS✔ Accepts Medicare2.4 mi
Hospitalist
NPI 1467984906
1501 S POTOMAC ST
Aurora, CO 80012
(303) 338-4545
✔ PECOS✔ Accepts Medicare2.5 mi
Nurse Practitioner
NPI 1760904791
15230 E ILIFF AVE STE A
Aurora, CO 80014
(720) 748-3187
✔ PECOS✔ Accepts Medicare2.6 mi
Medical Oncology
NPI 1548244270
1700 S POTOMAC ST
Aurora, CO 80012
(303) 418-7600
✔ PECOS✔ Accepts Medicare2.6 mi
Neurology
NPI 1295115178
1635 AURORA CT
Aurora, CO 80045
(720) 848-2080
✔ PECOS✔ Accepts Medicare3.6 mi
Endocrinology
NPI 1184637456
1635 AURORA CT
Aurora, CO 80045
(720) 848-0000
✔ PECOS✔ Accepts Medicare3.6 mi
Neurosurgery
NPI 1558868430
13001 E 17TH PL
Aurora, CO 80045
(303) 724-5000
✔ PECOS✔ Accepts Medicare3.6 mi
Internal Medicine
NPI 1215566534
13001 E 17TH PL
Aurora, CO 80045
(303) 724-1784
✔ PECOS3.6 mi
Preventive Medicine
NPI 1477837383
13001 E 17TH PL UNIVERSITY OF COLORADO SCHOOL OF MEDICINE GME
Aurora, CO 80045
(303) 724-9593
✔ PECOS3.7 mi
Hematology/Oncology
NPI 1699235721
13001 E 17TH PL # N4223
Aurora, CO 80045
(303) 724-6031
✔ PECOS3.7 mi
Hospice/Palliative Care
NPI 1477047587
12605 E 16TH AVE
Aurora, CO 80045
(720) 848-0000
✔ PECOS✔ Accepts Medicare3.7 mi
Vascular Surgery
NPI 1861426132
12605 E 16TH AVE
Aurora, CO 80045
(720) 848-0000
✔ PECOS✔ Accepts Medicare3.7 mi
Cardiac Electrophysiology
NPI 1770663924
12605 E 16TH AVE
Aurora, CO 80045
(720) 848-0000
✔ PECOS✔ Accepts Medicare3.7 mi
Clinical Social Worker
NPI 1528738200
10782 E ALAMEDA AVE
Aurora, CO 80012
(303) 617-2300
✔ PECOS3.9 mi
Emergency Medicine
NPI 1902940786
10350 E DAKOTA AVE
Denver, CO 80247
(303) 338-4545
✔ PECOS✔ Accepts Medicare4.1 mi
Pulmonary Disease
NPI 1356478309
10350 E DAKOTA AVE
Denver, CO 80247
(303) 338-4545
✔ PECOS4.1 mi
See all 1,267 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 06D2289099

Intermountain Health - Buckley Clinic · Aurora, CO
Active · expires Sep 5, 2027
CLIA Number06D2289099
Laboratory TypePhysician Office
Certificate Effective DateSeptember 6, 2025
Certificate Expiration DateSeptember 5, 2027
Laboratory DirectorEric Whittier
Laboratory Phone(303) 812-5350
Laboratory LocationIntermountain Health - Buckley Clinic550 S Airport Blvd, Aurora, CO 80017
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1275213993. It was assigned to this organization in the NPPES registry on July 18, 2023. The provider is doing business as Intermountain Health - Buckley Primary Care.

Where is Intermountain Medical Group Denver, LLC located?

Intermountain Medical Group Denver, LLC is located at 550 S Airport Blvd, Aurora, CO 80017. The listed phone number is (303) 812-5350.

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

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

Is Intermountain Medical Group Denver, LLC enrolled in Medicare?

Yes. Intermountain Medical Group Denver, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Intermountain Medical Group Denver, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,267 clinicians in 46 Medicare specialties reassign their Medicare billing to Intermountain Medical Group Denver, 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 Physical Therapist in Private Practice (428), Nurse Practitioner (134) and Family Practice (115). Of these, 224 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Yes. A Certificate of Waiver (number 06D2289099) is associated with this NPI, valid through September 5, 2027. 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.