INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
NPI 1811501307
Internal Medicine - Hematology & Oncology in Grand Junction, CO

Active since September 02, 2020
750 WELLINGTON AVE, GRAND JUNCTION, CO 81501(970) 298-7500(970) 298-7262 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 16, 2026, Jun 28, 2024, Mar 5, 2024 and 1 more (4 updates tracked since 2020).

About Intermountain Medical Group Grand Junction, Llc NPPES

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

INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC (NPI 1811501307), doing business as Cancer Centers Of Colorado - St Mary's Regional Hospital (rad Onc), is a healthcare organization registered as a hematology & oncology in Grand Junction, Colorado and active in the NPI registry since September 2020. The organization lists Jon Mcdaniel, Vp Finance Medical Group, as its authorized official.

NPPES Registry Identity

NPI1811501307
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameINTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
Location Address750 WELLINGTON AVEGrand Junction, CO 81501-6132
Mailing Address750 Wellington AveGrand Junction, CO 81501-6132 · (970) 298-7500 · Fax (970) 298-7262
Fax(970) 298-7262
Organization SubpartYesParent: Intermountain Front Range, Inc
Authorized OfficialJon McdanielVp Finance Medical Group · (303) 272-0231
Enumeration DateSeptember 2, 2020
Last NPPES UpdateJuly 16, 20264 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1811501307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
750 WELLINGTON AVE, Grand Junction, CO 81501

Other Names 2

Doing Business AsCancer Centers Of Colorado - St Mary's Regional Hospital (rad Onc)
Doing Business AsWellington Radiaton Oncology Clinic

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 Medical Group Grand Junction, Llc 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 Medical Group Grand Junction, LLC, which bills Medicare for the services they deliver. Of these, 19 practice at this address and 175 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
Nurse Practitioner
NPI 1932094661
750 WELLINGTON AVE
Grand Jct, CO 81501
(970) 298-3150
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1659488948
750 WELLINGTON AVE STE 3C
Grand Junction, CO 81501
(970) 298-3150
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1639354376
750 WELLINGTON AVE STE 3C
Grand Junction, CO 81501
(970) 298-3150
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1649278003
750 WELLINGTON AVE ST. MARY'S MEDICAL PAVILION, RADIATION ONCOLOGY
Grand Junction, CO 81501
(970) 298-7500
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1619001633
750 WELLINGTON AVE STE 3C
Grand Junction, CO 81501
(970) 298-3150
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1154365153
750 WELLINGTON AVE SUITE 3A
Grand Junction, CO 81501
(970) 298-3188
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1891109559
750 WELLINGTON AVE
Grand Junction, CO 81501
(970) 298-2273
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1730112772
750 WELLINGTON AVE
Grand Junction, CO 81501
(970) 298-3188
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1679315782
750 WELLINGTON AVE
Grand Junction, CO 81501
(970) 298-3188
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1487960092
750 WELLINGTON AVE STE 3C
Grand Junction, CO 81501
(970) 298-3150
✔ PECOSSame address
Medical Oncology
NPI 1235573270
750 WELLINGTON AVE
Grand Junction, CO 81501
(970) 298-7500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1821838665
750 WELLINGTON AVE
Grand Junction, CO 81501
(702) 987-5009
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1982698148
750 WELLINGTON AVE STE 3A
Grand Junction, CO 81501
(970) 298-3188
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1215420427
750 WELLINGTON AVE
Grand Junction, CO 81501
(970) 298-7500
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1811212483
2525 N 8TH ST STE 202
Grand Junction, CO 81501
(970) 245-1168
Same address
Obstetrics/Gynecology
NPI 1114936374
2525 N 8TH ST STE 202
Grand Junction, CO 81501
(970) 245-1168
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1730147000
2525 N 8TH ST STE 202
Grand Junction, CO 81501
(970) 245-1168
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1477085066
2525 N 8TH ST
Grand Junction, CO 81501
(970) 248-3702
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1790946200
2525 N 8TH ST STE 202
Grand Junction, CO 81501
(970) 986-8900
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1639861842
710 WELLINGTON AVE STE 20
Grand Junction, CO 81501
(970) 298-6601
✔ PECOS✔ Accepts Medicare0.1 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.

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 1811501307. It was assigned to this organization in the NPPES registry on September 2, 2020. The provider is doing business as Cancer Centers of Colorado - St Mary's Regional Hospital (Rad Onc) and Wellington Radiaton Oncology Clinic.

Where is Intermountain Medical Group Grand Junction, LLC located?

Intermountain Medical Group Grand Junction, LLC is located at 750 Wellington Ave, Grand Junction, CO 81501. The listed phone number is (970) 298-7500.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

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, 19 practice at this address and 175 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 Grand Junction, LLC was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.