INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
NPI 1871330100
Obstetrics & Gynecology - Maternal & Fetal Medicine in Wheat Ridge, CO

Active since July 12, 2024
12905 W 40TH AVE, STE 420, WHEAT RIDGE, CO 80401(303) 265-5670 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Intermountain Medical Group Denver, Llc NPPES

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

INTERMOUNTAIN MEDICAL GROUP DENVER, LLC (NPI 1871330100), doing business as Lutheran Clinic - Maternal Fetal Medicine, is a healthcare organization registered as a maternal & fetal medicine in Wheat Ridge, Colorado and active in the NPI registry since July 2024. The organization lists Jon Mcdaniel, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1871330100
Entity TypeOrganization
Primary Taxonomy207VM0101X
Legal Business NameINTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Location Address12905 W 40TH AVE, STE 420Wheat Ridge, CO 80401
Mailing Address500 Eldorado Blvd Ste 4300Broomfield, CO 80021-3564 · (303) 272-0566 · Fax (303) 272-0390
Organization SubpartYesParent: Intermountain Front Range, Inc.
Authorized OfficialJon McdanielVp Finance · (303) 272-0231
Enumeration DateJuly 12, 2024
NPPES CertifiedJuly 12, 2024
✔ NPI 1871330100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
12905 W 40TH AVE, STE 420, Wheat Ridge, CO 80401

Other Names 1

Doing Business AsLutheran Clinic - Maternal Fetal Medicine

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 Denver, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,267

Medicare enrollment records show 1,267 clinicians reassign Medicare billing to Intermountain Medical Group Denver, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 369 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 46

Physical Therapist in Private Practice428
Nurse Practitioner134
Family Practice115
Internal Medicine81
Obstetrics/Gynecology67
Emergency Medicine55
Hospitalist51
Cardiovascular Disease (Cardiology)40
38 other specialties296

Nearest to this location (20)

See all 1,267
Podiatry
NPI 1649654252
12905 W 40TH AVE STE 430
Golden, CO 80401
(303) 265-5290
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1487974804
3400 YOUNGFIELD ST
Wheat Ridge, CO 80033
(303) 459-5645
✔ PECOS0.5 mi
Family Practice
NPI 1255599502
4803 WARD RD
Wheat Ridge, CO 80033
(303) 338-4545
✔ PECOS✔ Accepts Medicare0.9 mi
Obstetrics/Gynecology
NPI 1235148487
4803 WARD RD
Wheat Ridge, CO 80033
(303) 338-4545
✔ PECOS0.9 mi
Nurse Practitioner
NPI 1043881246
4803 WARD RD
Wheat Ridge, CO 80033
(303) 338-4545
✔ PECOS✔ Accepts Medicare0.9 mi
Hand Surgery
NPI 1508353855
2801 YOUNGFIELD ST STE 371
Golden, CO 80401
(303) 954-8878
✔ PECOS✔ Accepts Medicare1.0 mi
Family Practice
NPI 1912466772
2801 YOUNGFIELD ST STE 210
Golden, CO 80401
(720) 915-4266
✔ PECOS1.0 mi
Physical Therapist in Private Practice
NPI 1669961165
12090 W 50TH PL
Wheat Ridge, CO 80033
(303) 704-9525
✔ Accepts Medicare1.3 mi
Obstetrics/Gynecology
NPI 1831579085
5610 WARD RD STE 300
Arvada, CO 80002
(970) 236-8093
✔ PECOS✔ Accepts Medicare1.8 mi
Marriage and Family Therapist
NPI 1528790037
4251 KIPLING ST UNIT 560
Wheat Ridge, CO 80033
(720) 316-7908
✔ PECOS1.9 mi
Nurse Practitioner
NPI 1629646179
4251 KIPLING ST UNIT 220
Wheat Ridge, CO 80033
(303) 424-0559
✔ PECOS1.9 mi
Clinical Psychologist
NPI 1093126369
1687 COLE BLVD STE 103
Lakewood, CO 80401
(303) 403-6688
✔ PECOS✔ Accepts Medicare2.2 mi
Internal Medicine
NPI 1528642600
1707 COLE BLVD STE 100
Golden, CO 80401
(303) 763-4900
✔ PECOS✔ Accepts Medicare2.2 mi
Registered Dietitian or Nutrition Professional
NPI 1104219476
1707 COLE BLVD. SUITE #125
Golden, CO 80401
(303) 716-8039
2.2 mi
Family Practice
NPI 1558984641
1726 COLE BLVD STE 350
Golden, CO 80401
(303) 403-7381
✔ PECOS✔ Accepts Medicare2.4 mi
Occupational Therapist in Private Practice
NPI 1073585246
10005 W 17TH PL STE B
Lakewood, CO 80215
(303) 233-9700
✔ Accepts Medicare2.6 mi
Cardiovascular Disease (Cardiology)
NPI 1013975887
3655 LUTHERAN PKWY SUITE #201
Wheat Ridge, CO 80033
(303) 603-9800
✔ PECOS✔ Accepts Medicare2.9 mi
Cardiac Electrophysiology
NPI 1922099464
3655 LUTHERAN PKWY SUITE 201
Wheat Ridge, CO 80033
(303) 603-9800
✔ PECOS✔ Accepts Medicare2.9 mi
Preventive Medicine
NPI 1184665333
3655 LUTHERAN PKWY #105
Wheat Ridge, CO 80033
(303) 425-2631
✔ PECOS2.9 mi
Thoracic Surgery
NPI 1982682019
3555 LUTHERAN PKWY STE 380
Wheat Ridge, CO 80033
(303) 595-2700
✔ PECOS✔ Accepts Medicare2.9 mi
See all 1,267 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 Denver, LLC's NPI number?

The NPI number for Intermountain Medical Group Denver, LLC is 1871330100. It was assigned to this organization in the NPPES registry on July 12, 2024. The provider is doing business as Lutheran Clinic - Maternal Fetal Medicine.

Where is Intermountain Medical Group Denver, LLC located?

Intermountain Medical Group Denver, LLC is located at 12905 W 40th Ave, Ste 420, Wheat Ridge, CO 80401. The listed phone number is (303) 265-5670.

What is Intermountain Medical Group Denver, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Intermountain Medical Group Denver, LLC enrolled in Medicare?

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

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

According to the CMS Revalidation Reassignment List (October 2026 release), 1,267 clinicians in 46 Medicare specialties reassign their Medicare billing to Intermountain Medical Group Denver, 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 Physical Therapist in Private Practice (428), Nurse Practitioner (134) and Family Practice (115). Of these, 1 practice at this address and 369 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 Denver, LLC was last updated on July 12, 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.