BROADMOOR VALLEY PEDIATRICS
NPI 1407487788
Pediatrics in Colorado Springs, CO

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

The NPI number for Optumcare Colorado Medical Group LLC is 1407487788. It was assigned to this organization in the NPPES registry on January 27, 2020. The provider is doing business as Broadmoor Valley Pediatrics.

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

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since January 27, 2020

1230 TENDERFOOT HILL RD STE 255, COLORADO SPRINGS, CO 80906(719) 576-5437(719) 576-5441 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 7, 2024, Jan 27, 2020 (2 updates tracked since 2020).

On this page

About Broadmoor Valley Pediatrics NPPES

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

BROADMOOR VALLEY PEDIATRICS (NPI 1407487788) is a healthcare organization registered as a pediatrics in Colorado Springs, Colorado and active in the NPI registry since January 2020. The organization lists David I Cohen, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1407487788

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameOPTUMCARE COLORADO MEDICAL GROUP LLC

Location Address1230 TENDERFOOT HILL RD STE 255Colorado Springs, CO 80906-7393

Mailing Address2 S Cascade Ave Ste 140Colorado Springs, CO 80903-1604 · (719) 538-2900 · Fax (719) 538-2996

Phone(719) 576-5437

Fax(719) 576-5441

Organization SubpartYes

Authorized OfficialDavid I CohenMedical Director · (702) 480-2550

Enumeration DateJanuary 27, 2020

Last NPPES UpdateMarch 7, 20242 updates tracked since enumeration

NPPES CertifiedMarch 7, 2024

✔ NPI 1407487788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1230 TENDERFOOT HILL RD STE 255, Colorado Springs, CO 80906

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Other Names 1

Doing Business AsBroadmoor Valley Pediatrics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Broadmoor Valley Pediatrics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

314

Medicare enrollment records show 314 clinicians reassign Medicare billing to Broadmoor Valley Pediatrics, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 94 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 25

Family Practice97

Nurse Practitioner76

Internal Medicine42

Pediatric Medicine21

Certified Registered Nurse Anesthetist (CRNA)16

Rheumatology11

Hospitalist9

Diagnostic Radiology8

17 other specialties34

Nearest to this location (20)

See all 314

Kelly Price, M.D.

Pediatric Medicine

NPI 1417012261

1230 TENDERFOOT HILL RD STE 255
Colorado Springs, CO 80906

(719) 576-5437

✔ PECOSSame address

Steven Brodie, MD

Internal Medicine

NPI 1245229509

2610 TENDERFOOT HILL ST
Colorado Springs, CO 80906

(719) 522-1133

✔ PECOS✔ Accepts Medicare0.6 mi

Jacqueline Hooper, NP

Nurse Practitioner

NPI 1225323405

2610 TENDERFOOT HILL ST
Colorado Springs, CO 80906

(719) 522-1133

✔ PECOS0.6 mi

John Bell, MD

Internal Medicine

NPI 1467441733

2610 TENDERFOOT HILL ST
Colorado Springs, CO 80906

(719) 522-1133

✔ PECOS✔ Accepts Medicare0.6 mi

Angela Blue, FNP-BC

Nurse Practitioner

NPI 1457671570

2610 TENDERFOOT HILL ST
Colorado Springs, CO 80906

(719) 522-1133

✔ PECOS✔ Accepts Medicare0.6 mi

Michael Hemsworth, MD

Family Practice

NPI 1124095641

2610 TENDERFOOT HILL ST
Colorado Springs, CO 80906

(719) 522-1133

✔ PECOS✔ Accepts Medicare0.6 mi

Tanya Hrabal, MD

Family Practice

NPI 1619912227

2610 TENDERFOOT HILL
Colorado Springs, CO 80906

(719) 522-1133

✔ PECOS✔ Accepts Medicare0.6 mi

Mary Nolte, APRN,MSN

Nurse Practitioner

NPI 1154550036

2610 TENDERFOOT HILL ST
Colorado Springs, CO 80906

(719) 522-1133

✔ PECOS✔ Accepts Medicare0.6 mi

Dasuni Rathnayake, MD

Internal Medicine

NPI 1730649898

2610 TENDERFOOT HILL ST
Colorado Springs, CO 80906

(719) 522-1133

✔ PECOS✔ Accepts Medicare0.6 mi

Caroline Rowlands, M.D.

Pediatric Medicine

NPI 1003961459

2610 TENDERFOOT HILL STREET
Colorado Springs, CO 80906

(719) 538-5727

✔ PECOS0.6 mi

Zachary Stengel, M.D.

Family Practice

NPI 1669549127

2610 TENDERFOOT HILL ST
Colorado Springs, CO 80906

(719) 522-1133

✔ PECOS✔ Accepts Medicare0.6 mi

Bridget Tewes, MD

Pediatric Medicine

NPI 1699744359

2610 TENDERFOOT HILL ST
Colorado Springs, CO 80906

(719) 538-5727

✔ PECOS0.6 mi

Leighton Tewes, M.D.

Family Practice

NPI 1306881982

2610 TENDERFOOT HILL ST
Colorado Springs, CO 80906

(719) 522-1133

✔ PECOS✔ Accepts Medicare0.6 mi

Joseph Yang, D.O.

Family Practice

NPI 1750764411

2610 TENDERFOOT HILL ST
Colorado Springs, CO 80906

(719) 576-3901

✔ PECOS✔ Accepts Medicare0.6 mi

Stephanie Hicks, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1548219918

715 N WEBER ST STE 100
Colorado Springs, CO 80903

(719) 473-6155

✔ PECOS✔ Accepts Medicare2.3 mi

Caryn Baldauf, MD

Hospitalist

NPI 1811963226

2 S CASCADE AVE SUITE 140
Colorado Springs, CO 80903

(719) 538-2950

✔ PECOS✔ Accepts Medicare2.5 mi

Alice Cole, CNM

Certified Nurse Midwife (CNM)

NPI 1760410633

2 S CASCADE
Colorado Springs, CO 80903

(719) 538-2936

✔ PECOS2.5 mi

Kern Low, M.D.

Family Practice

NPI 1396740221

2 S CASCADE AVE STE 140
Colorado Springs, CO 80903

(719) 463-5540

✔ PECOS3.0 mi

Karen Steese, FNP-C

Nurse Practitioner

NPI 1740732197

1400 E BOULDER ST # 2508
Colorado Springs, CO 80909

(719) 365-1292

✔ PECOS✔ Accepts Medicare3.1 mi

Drew Burlon, D.O.

Internal Medicine

NPI 1548604838

1400 E BOULDER ST
Colorado Springs, CO 80909

(719) 365-1292

✔ PECOS✔ Accepts Medicare3.2 mi

See all 314 clinicians

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

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 Optumcare Colorado Medical Group LLC's NPI number?

The NPI number for Optumcare Colorado Medical Group LLC is 1407487788. It was assigned to this organization in the NPPES registry on January 27, 2020. The provider is doing business as Broadmoor Valley Pediatrics.

Where is Optumcare Colorado Medical Group LLC located?

Optumcare Colorado Medical Group LLC is located at 1230 Tenderfoot Hill Rd Ste 255, Colorado Springs, CO 80906. The listed phone number is (719) 576-5437.

What is Optumcare Colorado Medical Group LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Optumcare Colorado Medical Group LLC enrolled in Medicare?

Yes. Optumcare Colorado Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Optumcare Colorado Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 314 clinicians in 25 Medicare specialties reassign their Medicare billing to Optumcare Colorado Medical Group 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 Family Practice (97), Nurse Practitioner (76) and Internal Medicine (42). Of these, 1 practice at this address and 94 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Optumcare Colorado Medical Group LLC was last updated on March 7, 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.