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

INTERMOUNTAIN HEALTH HEART & VASCULAR - WEST PARK CARDIOLOGY
NPI 1780355156
Internal Medicine - Cardiovascular Disease in Grand Junction, CO

Active since September 24, 2021CLIA 06D2232789 · Waiver
360 W PARK DR, GRAND JUNCTION, CO 81505(970) 298-3050(970) 744-5367 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 28, 2024, Jan 3, 2024, Sep 24, 2021 (3 updates tracked since 2021).

About Intermountain Health Heart & Vascular - West Park Cardiology NPPES

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

INTERMOUNTAIN HEALTH HEART & VASCULAR - WEST PARK CARDIOLOGY (NPI 1780355156) is a healthcare organization registered as a cardiovascular disease in Grand Junction, Colorado and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through August 16, 2027 and lists Jon Mcdaniel, Vp Finance Med Group, as its authorized official.

NPPES Registry Identity

NPI1780355156
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameINTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
Location Address360 W PARK DRGrand Junction, CO 81505-1448
Mailing Address500 Eldorado Blvd Ste 6300Broomfield, CO 80021-3422 · (303) 272-0566
Phone(970) 298-3050
Fax(970) 744-5367
Organization SubpartYesParent: Intermountain Front Range, Inc.
Authorized OfficialJon McdanielVp Finance Med Group · (303) 272-0231
Enumeration DateSeptember 24, 2021
Last NPPES UpdateJune 28, 20243 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1780355156 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.
360 W PARK DR, Grand Junction, CO 81505
Open in Google Maps ↗

Other Names 1

Doing Business AsIntermountain Health Heart & Vascular - West Park Cardiology

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

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 Health Heart & Vascular - West Park Cardiology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

438

Medicare enrollment records show 438 clinicians reassign Medicare billing to Intermountain Health Heart & Vascular - West Park Cardiology, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 176 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 45

Nurse Practitioner71
Internal Medicine44
Family Practice39
Obstetrics/Gynecology37
Cardiovascular Disease (Cardiology)26
Neurology26
Vascular Surgery17
Physical Therapist in Private Practice16
37 other specialties162

Nearest to this location (20)

See all 438
Kevin Desai
Cardiovascular Disease (Cardiology)
NPI 1619505898
360 W PARK DR
Grand Junction, CO 81505
(303) 272-0644
✔ PECOSSame address
Zachary Perkins
Nurse Practitioner
NPI 1326614934
360 W PARK DR
Grand Junction, CO 81505
(970) 298-3050
✔ PECOS✔ Accepts MedicareSame address
Divleen Sidhu
Cardiovascular Disease (Cardiology)
NPI 1588261283
360 W PARK DR
Grand Junction, CO 81505
(970) 298-3050
✔ PECOSSame address
Carl Rouch, M.D.
Interventional Cardiology
NPI 1124099650
360 W PARK DR
Grand Junction, CO 81505
(970) 244-2482
✔ PECOS✔ Accepts MedicareSame address
Glenda Cain, RN,FNP
Nurse Practitioner
NPI 1740394808
2570 PATTERSON RD
Grand Junction, CO 81505
(970) 298-6601
✔ PECOS0.2 mi
Katelyn Deveraux, DO
Family Practice
NPI 1386225522
2570 PATTERSON RD # RS
Grand Junction, CO 81505
(970) 298-6601
✔ PECOS✔ Accepts Medicare0.2 mi
Sheila Neese, MD
Infectious Disease
NPI 1306066063
425 PATTERSON RD SUITE 401
Grand Junction, CO 81506
(970) 298-7499
✔ PECOS✔ Accepts Medicare0.4 mi
Mary Deering, M.D.
Orthopedic Surgery
NPI 1659362549
627 25 1/2 RD
Grand Junction, CO 81505
(970) 242-3535
✔ PECOS✔ Accepts Medicare0.5 mi
Robert Frazho, MD
Physical Medicine and Rehabilitation
NPI 1235122482
627 25 1/2 RD
Grand Junction, CO 81505
(970) 242-3535
✔ PECOS✔ Accepts Medicare0.5 mi
Katie Ramsden, DPT
Physical Therapist in Private Practice
NPI 1659775047
627 25 1/2 RD
Grand Junction, CO 81505
(970) 242-3535
✔ Accepts Medicare0.5 mi
Makenzie Kroupa, OTR/L
Occupational Therapist in Private Practice
NPI 1639995533
627 25 1/2 RD
Grand Junction, CO 81505
(970) 242-3535
✔ Accepts Medicare0.5 mi
Terri Schmitt, DPM
Podiatry
NPI 1861441321
627 25 1/2 RD
Grand Junction, CO 81505
(970) 242-3535
✔ PECOS✔ Accepts Medicare0.5 mi
Michele Willis, M.D.
Psychiatry
NPI 1811383375
2643 PATTERSON RD STE 603
Grand Junction, CO 81506
(970) 298-3801
✔ PECOS✔ Accepts Medicare0.5 mi
Danielle Smith, M.D.
Thoracic Surgery
NPI 1679863542
2643 PATTERSON RD STE 403
Grand Junction, CO 81506
(970) 298-7675
✔ PECOS✔ Accepts Medicare0.6 mi
Justin Walpole, M.D.
Vascular Surgery
NPI 1063825693
2643 PATTERSON RD STE 401
Grand Junction, CO 81506
(970) 298-3884
✔ PECOS✔ Accepts Medicare0.6 mi
John Moore, MD
Cardiac Electrophysiology
NPI 1548462385
2643 PATTERSON RD STE 605
Grand Junction, CO 81506
(970) 244-2482
✔ PECOS✔ Accepts Medicare0.6 mi
Alexandra Berguer, MD
Internal Medicine
NPI 1811343270
2635 N 7TH ST
Grand Junction, CO 81501
(970) 298-2273
✔ PECOS✔ Accepts Medicare0.6 mi
Matthew Cyphers, MD
Nephrology
NPI 1437110954
2635 N 7TH ST 4 CENTER
Grand Junction, CO 81501
(970) 298-7106
✔ PECOS✔ Accepts Medicare0.6 mi
Wallace Jones
Hematology/Oncology
NPI 1255835724
2635 N 7TH ST
Grand Junction, CO 81501
(970) 298-2273
✔ PECOS✔ Accepts Medicare0.6 mi
Mark Mcginley, MD
Pulmonary Disease
NPI 1457324733
2635 N 7TH ST
Grand Junction, CO 81501
(307) 577-2289
✔ PECOS0.6 mi
See all 438 clinicians

Source: 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 06D2232789

Intermountain Health Heart & Vascular West Park Cardiology · Grand Junction, CO
Active · expires Aug 16, 2027
CLIA Number06D2232789
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorDr. Muhammad Azzouz
Laboratory Phone(970) 298-3050
Laboratory LocationIntermountain Health Heart & Vascular West Park Cardiology360 West Park Drive, Grand Junction, CO 81505
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Grand Junction, LLC's NPI number?

The NPI number for Intermountain Medical Group Grand Junction, LLC is 1780355156. It was assigned to this organization in the NPPES registry on September 24, 2021. The provider is doing business as Intermountain Health Heart & Vascular - West Park Cardiology.

Where is Intermountain Medical Group Grand Junction, LLC located?

Intermountain Medical Group Grand Junction, LLC is located at 360 W Park Dr, Grand Junction, CO 81505. The listed phone number is (970) 298-3050.

What is Intermountain Medical Group Grand Junction, LLC's specialty?

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

Is Intermountain Medical Group Grand Junction, LLC enrolled in Medicare?

Yes. Intermountain Medical Group Grand Junction, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Intermountain Medical Group Grand Junction, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 438 clinicians in 45 Medicare specialties reassign their Medicare billing to Intermountain Medical Group Grand Junction, 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 Nurse Practitioner (71), Internal Medicine (44) and Family Practice (39). Of these, 4 practice at this address and 176 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Intermountain Medical Group Grand Junction, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2232789) is associated with this NPI, valid through August 16, 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 Intermountain Medical Group Grand Junction, 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.