SMMG PEDIATRIC SPECIALTY
NPI 1871106054
Pediatrics in Grand Junction, CO

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

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since August 26, 2020

2643 PATTERSON RD STE 603, GRAND JUNCTION, CO 81506(970) 298-7440(970) 298-7459 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 28, 2024, Aug 26, 2020 (2 updates tracked since 2020).

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About Smmg Pediatric Specialty NPPES

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

SMMG PEDIATRIC SPECIALTY (NPI 1871106054) is a healthcare organization registered as a pediatrics in Grand Junction, Colorado and active in the NPI registry since August 2020. The organization lists Jon Mcdaniel, Vp Finance Medical Group, as its authorized official.

NPPES Registry Identity

NPI1871106054

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameINTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC

Location Address2643 PATTERSON RD STE 603Grand Junction, CO 81506-1937

Mailing Address2643 Patterson Rd Ste 603Grand Junction, CO 81506-1937 · (970) 298-7440 · Fax (970) 298-7459

Phone(970) 298-7440

Fax(970) 298-7459

Organization SubpartYesParent: Intermountain Front Range, Inc.

Authorized OfficialJon McdanielVp Finance Medical Group · (303) 272-0231

Enumeration DateAugust 26, 2020

Last NPPES UpdateJune 28, 20242 updates tracked since enumeration

NPPES CertifiedJune 28, 2024

✔ NPI 1871106054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2643 PATTERSON RD STE 603, Grand Junction, CO 81506

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Other Names 1

Doing Business AsSmmg Pediatric Specialty

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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)

Smmg Pediatric Specialty 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 Smmg Pediatric Specialty, which bills Medicare for the services they deliver. Of these, 45 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

Ryan Jackman, M.D.

Family Practice

NPI 1114363942

2643 PATTERSON RD STE 603
Grand Junction, CO 81506

(970) 298-3801

✔ PECOS✔ Accepts MedicareSame address

Meghan Kimmel, FNP, ACAGNP

Nurse Practitioner

NPI 1447803283

2643 PATTERSON RD
Grand Junction, CO 81506

(970) 298-6600

✔ PECOS✔ Accepts MedicareSame address

Andrea Lamb, N.P.

Nurse Practitioner

NPI 1649557950

2643 PATTERSON RD SUITE 605
Grand Junction, CO 81506

(970) 298-2482

✔ PECOS✔ Accepts MedicareSame address

Danielle Smith, M.D.

Thoracic Surgery

NPI 1679863542

2643 PATTERSON RD STE 403
Grand Junction, CO 81506

(970) 298-7675

✔ PECOS✔ Accepts MedicareSame address

Justin Walpole, M.D.

Vascular Surgery

NPI 1063825693

2643 PATTERSON RD STE 401
Grand Junction, CO 81506

(970) 298-3884

✔ PECOS✔ Accepts MedicareSame address

John Moore, MD

Cardiac Electrophysiology

NPI 1548462385

2643 PATTERSON RD STE 605
Grand Junction, CO 81506

(970) 244-2482

✔ PECOS✔ Accepts MedicareSame address

Katherine Zybach, MD

Pediatric Medicine

NPI 1275769325

2643 PATTERSON RD STE 603
Grand Junction, CO 81506

(970) 298-7440

✔ PECOS✔ Accepts MedicareSame address

Leonard Lapkin, MD

Thoracic Surgery

NPI 1437131455

2643 PATTERSON ROAD SUITE 403
Grand Junction, CO 81506

(970) 298-7675

✔ PECOS✔ Accepts MedicareSame address

Alexandra Berguer, MD

Internal Medicine

NPI 1811343270

2635 N 7TH ST
Grand Junction, CO 81501

(970) 298-2273

✔ PECOS✔ Accepts MedicareSame address

John Bratteli, MD

Family Practice

NPI 1245213925

2635 N 7TH ST
Grand Junction, CO 81501

(970) 298-6307

✔ PECOS✔ Accepts MedicareSame address

Matthew Cyphers, MD

Nephrology

NPI 1437110954

2635 N 7TH ST 4 CENTER
Grand Junction, CO 81501

(970) 298-7106

✔ PECOS✔ Accepts MedicareSame address

Katherine Dugan, MD

Internal Medicine

NPI 1588284905

2635 N 7TH ST
Grand Junction, CO 81501

(970) 298-7750

✔ PECOS✔ Accepts MedicareSame address

Kathryn Jones, MD

Nephrology

NPI 1154775179

2635 N 7TH ST
Grand Junction, CO 81501

(970) 298-7795

✔ PECOS✔ Accepts MedicareSame address

Wallace Jones

Hematology/Oncology

NPI 1255835724

2635 N 7TH ST
Grand Junction, CO 81501

(970) 298-2273

✔ PECOS✔ Accepts MedicareSame address

Mark Mcginley, MD

Pulmonary Disease

NPI 1457324733

2635 N 7TH ST
Grand Junction, CO 81501

(307) 577-2289

✔ PECOSSame address

Trent Milligan, D.O

Physical Medicine and Rehabilitation

NPI 1982099545

2635 N 7TH ST
Grand Junction, CO 81501

(970) 298-2273

✔ PECOS✔ Accepts MedicareSame address

Bonnie Souser, CNS

Certified Clinical Nurse Specialist (CNS)

NPI 1932733664

2635 N 7TH ST
Grand Junction, CO 81501

(970) 298-2273

✔ PECOSSame address

Kathryn Spangler, MD

Hospitalist

NPI 1528413853

2635 N 7TH ST
Grand Junction, CO 81501

(970) 298-2273

✔ PECOS✔ Accepts MedicareSame address

Krista Stephens, MD

Emergency Medicine

NPI 1538798830

2635 N 7TH ST
Grand Junction, CO 81501

(505) 272-5062

✔ PECOS✔ Accepts MedicareSame address

Kevin Keller, MD

Anesthesiology

NPI 1083645824

2635 N 7TH ST
Grand Junction, CO 81501

(970) 244-2506

✔ PECOS✔ Accepts MedicareSame address

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 1871106054. It was assigned to this organization in the NPPES registry on August 26, 2020. The provider is doing business as Smmg Pediatric Specialty.

Where is Intermountain Medical Group Grand Junction, LLC located?

Intermountain Medical Group Grand Junction, LLC is located at 2643 Patterson Rd Ste 603, Grand Junction, CO 81506. The listed phone number is (970) 298-7440.

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

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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, 45 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 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.