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SOUTH DENVER INTERNAL MEDICINE AND PEDIATRICS, P.C.
NPI 1376671628
Clinic/Center - Primary Care in Lone Tree, CO

Active since March 01, 2007CLIA 06D1015600 · Waiver
10103 RIDGEGATE PKWY, SUITE 114, LONE TREE, CO 80124(303) 799-8890(303) 799-8891 Get Directions Write a Review

NPPES record last updated: February 8, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Denver Internal Medicine And Pediatrics, P.c. NPPES

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

SOUTH DENVER INTERNAL MEDICINE AND PEDIATRICS, P.C. (NPI 1376671628) is a healthcare organization registered as a primary care in Lone Tree, Colorado and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 10, 2027 and lists Charles Miranda, President, as its authorized official.

NPPES Registry Identity

NPI1376671628
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSOUTH DENVER INTERNAL MEDICINE AND PEDIATRICS, P.C.
Location Address10103 RIDGEGATE PKWY, SUITE 114Lone Tree, CO 80124-5520
Mailing Address10103 Ridgegate Pkwy, Suite 114Lone Tree, CO 80124-5520 · (303) 799-8890 · Fax (303) 799-8891
Phone(303) 799-8890
Fax(303) 799-8891
Organization SubpartNo
Authorized OfficialCharles MirandaPresident · (303) 799-8890
Enumeration DateMarch 1, 2007
Last NPPES UpdateFebruary 8, 2010
✔ NPI 1376671628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CO · 33478
10103 RIDGEGATE PKWY, Lone Tree, CO 80124
Open in Google Maps ↗

Other Identifiers 1

Medicare PINC506878

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 06D1015600

South Denver Internal Medicine · Lone Tree, CO
Active · expires Aug 10, 2027
CLIA Number06D1015600
Laboratory TypePhysician Office
Certificate Effective DateAugust 11, 2025
Certificate Expiration DateAugust 10, 2027
Laboratory DirectorDr. Charles H. Miranda
Laboratory Phone(303) 799-8890
Laboratory LocationSouth Denver Internal Medicine10459 Park Meadows Blvd, Ste 101, Lone Tree, CO 80124
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

JOHN R BARKER M.D.
Orthopaedic Surgery
10103 RIDGEGATE PKWY
LONE TREE, CO 80124
Douglas County (303) 225-8120
DOUGLAS D BENSON MD
Colon & Rectal Surgery
10103 RIDGEGATE PKWY, SUITE 208
LONE TREE, CO 80124
Douglas County (303) 535-5350
SPINAL MONITORING SERVICES, INC
Technician, Other
10103 RIDGEGATE PKWY, SUITE 306
LONE TREE, CO 80124
Douglas County (303) 225-8120
JOLENE RENE CHADWICK RN
Registered Nurse
10103 RIDGEGATE PKWY
LONE TREE, CO 80124
Douglas County (303) 788-8888
ERIC R JAMRICH M.D.
Orthopaedic Surgery
10103 RIDGEGATE PKWY
LONE TREE, CO 80124
Douglas County (303) 225-8120
MRS. DIANE EVA LUCERO MSN PNNP RDMS
Nurse Practitioner (Perinatal)
10103 RIDGEGATE PKWY, SUITE 212
LONE TREE, CO 80124
Douglas County (303) 792-5585
STEVEN M GROVER M.D.
Obstetrics & Gynecology
10103 RIDGEGATE PKWY, SUITE 200
LONE TREE, CO 80124
Douglas County (303) 788-6657
KENNETH D BLAKE MD
Colon & Rectal Surgery
10103 RIDGEGATE PKWY, SUITE 208
LONE TREE, CO 80124
Douglas County (303) 535-5350

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 South Denver Internal Medicine And Pediatrics, P.C.'s NPI number?

The NPI number for South Denver Internal Medicine And Pediatrics, P.C. is 1376671628. It was assigned to this organization in the NPPES registry on March 1, 2007.

Where is South Denver Internal Medicine And Pediatrics, P.C. located?

South Denver Internal Medicine And Pediatrics, P.C. is located at 10103 Ridgegate Pkwy Suite 114, Lone Tree, CO 80124. The listed phone number is (303) 799-8890.

What is South Denver Internal Medicine And Pediatrics, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does South Denver Internal Medicine And Pediatrics, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D1015600) is associated with this NPI, valid through August 10, 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 South Denver Internal Medicine And Pediatrics, P.C. was last updated on February 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.