LAFAYETTE CLINIC - GENERAL SURGERY
NPI 1417560574
Surgery in Lafayette, CO
About Lafayette Clinic - General Surgery NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAFAYETTE CLINIC - GENERAL SURGERY (NPI 1417560574), doing business as Lafayette Clinic - Trauma Surgery, is a healthcare organization registered as a surgery in Lafayette, Colorado and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through February 21, 2028 and lists Jon Mcdaniel, Vp Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Names 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lafayette Clinic - General Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
1,267Medicare enrollment records show 1,267 clinicians reassign Medicare billing to Lafayette Clinic - General Surgery, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 152 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 46
Nearest to this location (20)
See all 1,267Source: 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 06D2253459
Lafayette Clinic - General & Trauma Surgery · Lafayette, COFrequently 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 1417560574. It was assigned to this organization in the NPPES registry on August 28, 2020. The provider is doing business as Lafayette Clinic - Trauma Surgery. The provider is also known as Lafayette Clinic - General Surgery.
Where is Intermountain Medical Group Denver, LLC located?
Intermountain Medical Group Denver, LLC is located at 300 Exempla Cir Ste 400, Lafayette, CO 80026. The listed phone number is (303) 689-6560.
What is Intermountain Medical Group Denver, LLC's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
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 152 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 06D2253459) is associated with this NPI, valid through February 21, 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.
# Lafayette Clinic - General Surgery · NPI 1417560574
Surgery organization in Lafayette, Colorado. Organization record, active in the CMS NPPES registry since August 28, 2020.
## Identity
- **NPI:** 1417560574 (Entity type: Organization)
- **Enumerated:** August 28, 2020
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Legal business name:** Intermountain Medical Group Denver, Llc
- **Also known as:** Lafayette Clinic - Trauma Surgery (Doing Business As)
- **Organization subpart:** Yes (part of Intermountain Front Range, Inc.)
- **Authorized official:** Jon Mcdaniel, VP FINANCE
## Practice location
- **Address:** 300 EXEMPLA CIR STE 400, Lafayette, CO 80026-3396
- **Phone:** (303) 689-6560 · **Fax:** (303) 689-6550
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,267 clinicians in 46 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (428), Nurse Practitioner (134), Family Practice (115); 8 practice at this address and 152 within 10 miles; [full list](https://npiprofile.com/npi/1417560574/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 28, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417560574) · Data from the CMS NPPES public registry.