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

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

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

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: August 09, 2026.

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

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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

Phone(303) 812-5350

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

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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

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.

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.