OPTUMCARE COLORADO MEDICAL GROUP LLC
NPI 1902437874
Family Medicine in Colorado Springs, CO
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 1902437874), doing business as Optumcare Colorado Springs Llc, is a healthcare organization registered as a family medicine in Colorado Springs, Colorado and active in the NPI registry since January 2020. The organization lists Emily Castillo, Associate Director Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Optumcare Colorado Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
314Medicare enrollment records show 314 clinicians reassign Medicare billing to Optumcare Colorado Medical Group LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 119 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 25
Nearest to this location (20)
See all 314Colorado Springs, CO 80907
Colorado Springs, CO 80907
Colorado Springs, CO 80907
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 Optumcare Colorado Medical Group LLC's NPI number?
The NPI number for Optumcare Colorado Medical Group LLC is 1902437874. It was assigned to this organization in the NPPES registry on January 30, 2020. The provider is doing business as Mdvip Dr Theodore Lawson. The provider was formerly known as Optumcare Colorado Springs LLC.
Where is Optumcare Colorado Medical Group LLC located?
Optumcare Colorado Medical Group LLC is located at 3470 Centennial Blvd Ste 210, Colorado Springs, CO 80907. The listed phone number is (719) 463-5600.
What is Optumcare Colorado Medical Group LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Optumcare Colorado Medical Group LLC enrolled in Medicare?
Yes. Optumcare Colorado Medical Group LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Optumcare Colorado Medical Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 314 clinicians in 25 Medicare specialties reassign their Medicare billing to Optumcare Colorado Medical Group 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 Family Practice (97), Nurse Practitioner (76) and Internal Medicine (42). Of these, 2 practice at this address and 119 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 Optumcare Colorado Medical Group LLC was last updated on August 20, 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.
# Optumcare Colorado Medical Group Llc · NPI 1902437874
Family Medicine organization in Colorado Springs, Colorado. Organization record, active in the CMS NPPES registry since January 30, 2020.
## Identity
- **NPI:** 1902437874 (Entity type: Organization)
- **Enumerated:** January 30, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** MDVIP DR THEODORE LAWSON (Doing Business As)
- **Organization subpart:** Yes (part of Optumcare Colorado Medical Group Llc)
- **Authorized official:** Emily Castillo, ASSOCIATE DIRECTOR CREDENTIALING
## Practice location
- **Address:** 3470 CENTENNIAL BLVD STE 210, Colorado Springs, CO 80907-8669
- **Phone:** (719) 463-5600 · **Fax:** (719) 538-2990
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 314 clinicians in 25 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (97), Nurse Practitioner (76), Internal Medicine (42); 2 practice at this address and 119 within 10 miles; [full list](https://npiprofile.com/npi/1902437874/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1902437874) · Data from the CMS NPPES public registry.