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INTERMOUNTAIN HEALTH HEART & VASCULAR - LAFAYETTE CLINIC
NPI 1366051054
Internal Medicine - Cardiovascular Disease in Lafayette, CO

Active since July 28, 2020CLIA 06D2189476 · Waiver
300 EXEMPLA CIR STE 310, LAFAYETTE, CO 80026(303) 689-6420(303) 689-6430 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 28, 2020 (2 updates tracked since 2020).

About Intermountain Health Heart & Vascular - Lafayette Clinic NPPES

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

INTERMOUNTAIN HEALTH HEART & VASCULAR - LAFAYETTE CLINIC (NPI 1366051054) is a healthcare organization registered as a cardiovascular disease in Lafayette, Colorado and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through July 30, 2028 and lists Jon Mcdaniel, Vp Fiance Mgps Operations, as its authorized official.

NPPES Registry Identity

NPI1366051054
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameINTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Location Address300 EXEMPLA CIR STE 310Lafayette, CO 80026-3394
Mailing Address500 Eldorado Blvd Ste 6300Broomfield, CO 80021-3422 · (303) 272-0566 · Fax (303) 272-0390
Phone(303) 689-6420
Fax(303) 689-6430
Organization SubpartYesParent: Intermountain Front Range, Inc.
Authorized OfficialJon McdanielVp Fiance Mgps Operations · (303) 272-0231
Enumeration DateJuly 28, 2020
Last NPPES UpdateJune 28, 20242 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1366051054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
300 EXEMPLA CIR STE 310, Lafayette, CO 80026
Open in Google Maps ↗

Other Names 1

Doing Business AsIntermountain Health Heart & Vascular - Lafayette Clinic

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 Heart & Vascular - Lafayette Clinic 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 Heart & Vascular - Lafayette Clinic, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 154 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
Peter Boulos, M.D.
Internal Medicine
NPI 1013375724
200 EXEMPLA CIR STE 310
Lafayette, CO 80026
(303) 689-6420
✔ PECOS✔ Accepts MedicareSame address
Daniel Hall, MD
General Surgery
NPI 1992191142
300 EXEMPLA CIR STE 400
Lafayette, CO 80026
(303) 689-6560
✔ PECOS✔ Accepts MedicareSame address
Valorie Hauck-Sorensen, CNM
Certified Nurse Midwife (CNM)
NPI 1083964506
300 EXEMPLA CIR STE 470
Lafayette, CO 80026
(303) 318-3296
✔ PECOSSame address
Jacy Jeffrey-Howe, CNM
Certified Nurse Midwife (CNM)
NPI 1750939450
300 EXEMPLA CIR STE 470
Lafayette, CO 80026
(303) 318-3296
✔ PECOSSame address
Amanda Johns, CNM
Certified Nurse Midwife (CNM)
NPI 1841997525
300 EXEMPLA CIR STE 470
Lafayette, CO 80026
(303) 673-1440
✔ PECOS✔ Accepts MedicareSame address
Meagann Little, CNM
Certified Nurse Midwife (CNM)
NPI 1033531058
300 EXEMPLA CIR
Lafayette, CO 80026
(303) 318-3296
✔ PECOS✔ Accepts MedicareSame address
Virginia Nagel, CNM
Certified Nurse Midwife (CNM)
NPI 1386845576
300 EXEMPLA CIR STE 470
Lafayette, CO 80026
(303) 318-3296
✔ PECOSSame address
Kayla Salmon, LCSW
Clinical Social Worker
NPI 1780408351
200 EXEMPLA CIR
Lafayette, CO 80026
(720) 822-0968
✔ PECOS✔ Accepts MedicareSame address
Richard Bigler, DO
Hospitalist
NPI 1487018495
200 EXEMPLA CIR
Lafayette, CO 80026
(928) 814-2776
✔ PECOS✔ Accepts Medicare0.1 mi
Amelia Carwin, MD
Neurology
NPI 1679969646
300 EXEMPLA CIR STE 230
Lafayette, CO 80026
(303) 781-4485
✔ PECOS✔ Accepts Medicare0.1 mi
Changhu Chen, MD
Radiation Oncology
NPI 1336256171
200 EXEMPLA CIR
Lafayette, CO 80026
(303) 338-4545
✔ PECOS✔ Accepts Medicare0.1 mi
Paul Suding, M.D
General Surgery
NPI 1215944129
300 EXEMPLA CIR SUITE 360
Lafayette, CO 80026
(303) 689-6560
✔ PECOS✔ Accepts Medicare0.1 mi
Heather Winn, MD
Obstetrics/Gynecology
NPI 1962859728
300 EXEMPLA CIR STE 300
Lafayette, CO 80026
(303) 318-3220
✔ PECOS✔ Accepts Medicare0.1 mi
Lauren Hammer
Nurse Practitioner
NPI 1821538174
300 EXEMPLA CIR SUITE 470
Lafayette, CO 80026
(303) 665-6016
✔ PECOS✔ Accepts Medicare0.1 mi
Benjamin Murphy, M.D.
Emergency Medicine
NPI 1427341346
280 EXEMPLA CIR
Lafayette, CO 80026
(303) 338-4545
✔ PECOS✔ Accepts Medicare0.1 mi
Kwong-Hon Chow, MD, PHD
Neurosurgery
NPI 1578906392
340 EXEMPLA CIR STE 300
Lafayette, CO 80026
(303) 673-1390
✔ PECOS✔ Accepts Medicare0.1 mi
Daniel Possley, DO
Orthopedic Surgery
NPI 1184885071
340 EXEMPLA CIR STE 300
Lafayette, CO 80026
(303) 673-1390
✔ PECOS✔ Accepts Medicare0.1 mi
Catherine Lazar, MD
Pulmonary Disease
NPI 1992992440
280 EXEMPLA CIR
Lafayette, CO 80026
(303) 338-4545
✔ PECOS0.2 mi
Susan Mccall, P.T.
Physical Therapist in Private Practice
NPI 1821237926
280 EXEMPLA CIR
Lafayette, CO 80026
(303) 338-4545
✔ Accepts Medicare0.2 mi
Brandon Sterry, MD
Family Practice
NPI 1073054292
280 EXEMPLA CIR
Lafayette, CO 80026
(303) 338-4545
✔ PECOS✔ Accepts Medicare0.2 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 06D2189476

Intermountain Health Heart & Vascular Lafayette · Lafayette, CO
Active · expires Jul 30, 2028
CLIA Number06D2189476
Laboratory TypePhysician Office
Certificate Effective DateJuly 31, 2026
Certificate Expiration DateJuly 30, 2028
Laboratory DirectorDr. Sucheta Gosavi
Laboratory Phone(303) 689-6420
Laboratory LocationIntermountain Health Heart & Vascular Lafayette300 Exempla Circle Suite 310, Lafayette, CO 80026
CLIA data matches this NPI record on: Name 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 1366051054. It was assigned to this organization in the NPPES registry on July 28, 2020. The provider is doing business as Intermountain Health Heart & Vascular - Lafayette Clinic.

Where is Intermountain Medical Group Denver, LLC located?

Intermountain Medical Group Denver, LLC is located at 300 Exempla Cir Ste 310, Lafayette, CO 80026. The listed phone number is (303) 689-6420.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

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, 8 practice at this address and 154 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 06D2189476) is associated with this NPI, valid through July 30, 2028. 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.