OPTUMCARE COLORADO MEDICAL GROUP LLC
NPI 1811430283
General Practice 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 1811430283. It was assigned to this organization in the NPPES registry on December 2, 2016. The provider is doing business as Optum Colorado Springs Southwest. The provider was formerly known as Optumcare Colorado Springs LLC, Colorado Springs Health Partners LLC and DaVita Medical Group Colorado Springs LLC.

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

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since December 02, 2016

2610 TENDERFOOT HILL ST, COLORADO SPRINGS, CO 80906(719) 226-8700(719) 226-8709 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 20, 2024, Aug 19, 2019, May 23, 2017 (3 updates tracked since 2017).

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About Optumcare Colorado Medical Group Llc NPPES

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

OPTUMCARE COLORADO MEDICAL GROUP LLC (NPI 1811430283), doing business as Optumcare Colorado Springs Llc, is a healthcare organization registered as a general practice in Colorado Springs, Colorado and active in the NPI registry since December 2016. The organization lists Emily Castillo, Associate Director Credentialing, as its authorized official.

NPPES Registry Identity

NPI1811430283

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameOPTUMCARE COLORADO MEDICAL GROUP LLC

Location Address2610 TENDERFOOT HILL STColorado Springs, CO 80906-3981

Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (719) 463-5600 · Fax (719) 538-2990

Phone(719) 226-8700

Fax(719) 226-8709

Organization SubpartNo

Authorized OfficialEmily CastilloAssociate Director Credentialing · (702) 579-3253

Enumeration DateDecember 2, 2016

Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration

NPPES CertifiedAugust 20, 2024

✔ NPI 1811430283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPediatricsTaxonomy 208000000X

2610 TENDERFOOT HILL ST, Colorado Springs, CO 80906

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Other Names 4

Former Legal Business NameOptumcare Colorado Springs Llc

Doing Business AsOptum Colorado Springs Southwest

Former Legal Business NameColorado Springs Health Partners Llc

Former Legal Business NameDavita Medical Group Colorado Springs Llc

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 20

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

DR. KENNETH A. RICHEAUX M.D.

Pediatrics