1. Home
  2. Directory
  3. Colorado
  4. Pueblo
  5. Internal Medicine
  6. NPI Profile

POUDRE VALLEY MEDICAL GROUP, LLC
NPI 1629863709
Internal Medicine - Cardiovascular Disease in Pueblo, CO

Active since April 10, 2025
1401 COURT ST, PUEBLO, CO 81003(719) 562-2300(719) 543-4963 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Poudre Valley Medical Group, Llc NPPES

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

POUDRE VALLEY MEDICAL GROUP, LLC (NPI 1629863709), doing business as Uchealth Medical Group, is a healthcare organization registered as a cardiovascular disease in Pueblo, Colorado and active in the NPI registry since April 2025. The organization lists Jana Conroy, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1629863709
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePOUDRE VALLEY MEDICAL GROUP, LLC
Location Address1401 COURT STPueblo, CO 81003-2715
Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071
Phone(719) 562-2300
Fax(719) 543-4963
Organization SubpartYes
Authorized OfficialJana ConroyDirector Of Credentialing · (719) 562-2300
Enumeration DateApril 10, 2025
NPPES CertifiedApril 10, 2025
✔ NPI 1629863709 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.

1401 COURT ST, Pueblo, CO 81003
Open in Google Maps ↗

Other Names 2

Doing Business AsUchealth Medical Group
Other NameUchealth Vein And Vascular Center - Pueblo

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

Other Providers at the Same Location NPPES 5

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

PANTELIS HADJIZACHARIA M.D.
Surgery (Vascular Surgery)
1401 COURT ST
PUEBLO, CO 81003
Pueblo County (719) 562-2300
SARA CATHERINE MCKEEVER D.O.
Surgery (Vascular Surgery)
1401 COURT ST
PUEBLO, CO 81003
Pueblo County (719) 562-2300
CHINA LEIGGI PA
Physician Assistant
1401 COURT ST
PUEBLO, CO 81003
Pueblo County (719) 562-2300
PAUL CHRISTOPHER SMITH PA-C
Physician Assistant (Surgical)
1401 COURT ST
PUEBLO, CO 81003
Pueblo County (719) 562-2300
DALILA WHITE MD
Surgery (Vascular Surgery)
1401 COURT ST
PUEBLO, CO 81003
Pueblo County (719) 562-2300

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 Poudre Valley Medical Group, LLC's NPI number?

The NPI number for Poudre Valley Medical Group, LLC is 1629863709. It was assigned to this organization in the NPPES registry on April 10, 2025. The provider is doing business as UCHealth Medical Group. The provider is also known as UCHealth Vein and Vascular Center - Pueblo.

Where is Poudre Valley Medical Group, LLC located?

Poudre Valley Medical Group, LLC is located at 1401 Court St, Pueblo, CO 81003. The listed phone number is (719) 562-2300.

What is Poudre Valley Medical Group, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Poudre Valley Medical Group, LLC was last updated on April 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.