OPTUMCARE COLORADO MEDICAL GROUP LLC
NPI 1346632684
General Practice in Monument, CO

Q: What is Optumcare Colorado Medical Group LLC's NPI number?

The NPI number for Optumcare Colorado Medical Group LLC is 1346632684. It was assigned to this organization in the NPPES registry on February 24, 2015. The provider is doing business as Optum Colorado Springs - Monument. The provider was formerly known as Optumcare Colorado Springs LLC, Colorado Springs Health Partners LLC and DaVita Medical Group Colorado Springs LLC.

Q: What is Optumcare Colorado Medical Group LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since February 24, 2015

15909 JACKSON CREEK PKWY, MONUMENT, CO 80132(719) 488-9933(719) 488-7396 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, Aug 19, 2019, Mar 15, 2017 (3 updates tracked since 2017).

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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 1346632684), doing business as Optumcare Colorado Springs Llc, is a healthcare organization registered as a general practice in Monument, Colorado and active in the NPI registry since February 2015. The organization lists Emily Castillo, Associate Director Credentialing, as its authorized official.

NPPES Registry Identity

NPI1346632684

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameOPTUMCARE COLORADO MEDICAL GROUP LLC

Location Address15909 JACKSON CREEK PKWYMonument, CO 80132-8693

Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3203

Phone(719) 488-9933

Fax(719) 488-7396

Organization SubpartNo

Authorized OfficialEmily CastilloAssociate Director Credentialing · (702) 579-3253

Enumeration DateFebruary 24, 2015

Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration

NPPES CertifiedAugust 20, 2024

✔ NPI 1346632684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X

15909 JACKSON CREEK PKWY, Monument, CO 80132

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Other Names 4

Former Legal Business NameOptumcare Colorado Springs Llc

Doing Business AsOptum Colorado Springs - Monument

Former Legal Business NameColorado Springs Health Partners Llc

Former Legal Business NameDavita Medical Group Colorado Springs Llc

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 11

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

BRIAN FELDT PTA

Physical Therapy Assistant

15909 JACKSON CREEK PKWY, SUITE 110
MONUMENT, CO 80132

El Paso County (719) 481-0897

KENDRA D ROBISON DO

Internal Medicine