INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
NPI 1528958766
Urology in Denver, CO
About Intermountain Medical Group Denver, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC (NPI 1528958766), doing business as Intermountain Health Central Park Clinic - Urology, is a healthcare organization registered as an urology in Denver, Colorado and active in the NPI registry since July 2025. The organization lists Jon Mcdaniel, Vp Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Intermountain Medical Group Denver, Llc 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 Intermountain Medical Group Denver, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 458 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.
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 1528958766. It was assigned to this organization in the NPPES registry on July 8, 2025. The provider is doing business as Intermountain Health Central Park Clinic - Urology.
Where is Intermountain Medical Group Denver, LLC located?
Intermountain Medical Group Denver, LLC is located at 2803 Roslyn St, Denver, CO 80238. The listed phone number is (303) 403-6540.
What is Intermountain Medical Group Denver, LLC's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
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, 4 practice at this address and 458 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 Intermountain Medical Group Denver, LLC was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Intermountain Medical Group Denver, Llc · NPI 1528958766
Urology organization in Denver, Colorado. Organization record, active in the CMS NPPES registry since July 8, 2025.
## Identity
- **NPI:** 1528958766 (Entity type: Organization)
- **Enumerated:** July 8, 2025
- **Primary specialty:** Urology · taxonomy 208800000X
- **Also known as:** Intermountain Health Central Park Clinic - Urology (Doing Business As)
- **Organization subpart:** Yes (part of Intermountain Front Range, Inc.)
- **Authorized official:** Jon Mcdaniel, VP FINANCE
## Practice location
- **Address:** 2803 ROSLYN ST, Denver, CO 80238-2624
- **Phone:** (303) 403-6540 · **Fax:** (303) 325-8414
## 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); 4 practice at this address and 458 within 10 miles; [full list](https://npiprofile.com/npi/1528958766/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1528958766) · Data from the CMS NPPES public registry.