CONGRESS PARK CLINIC - PRIMARY CARE
NPI 1942972526
Family Medicine in Denver, CO
About Congress Park Clinic - Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONGRESS PARK CLINIC - PRIMARY CARE (NPI 1942972526) is a healthcare organization registered as a family medicine in Denver, Colorado and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through October 12, 2027 and lists Jon Mcdaniel, Vp Fiance Medical Group, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Congress Park Clinic - Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
1,267Medicare enrollment records show 1,267 clinicians reassign Medicare billing to Congress Park Clinic - Primary Care, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 515 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 46
Nearest to this location (20)
See all 1,267Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 06D2239636
Congress Park Clinic - Primary Care · Denver, COFrequently 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 1942972526. It was assigned to this organization in the NPPES registry on October 1, 2021. The provider is doing business as Congress Park Clinic - Primary Care.
Where is Intermountain Medical Group Denver, LLC located?
Intermountain Medical Group Denver, LLC is located at 1400 Jackson St Ste 550, Denver, CO 80206. The listed phone number is (303) 812-3800.
What is Intermountain Medical Group Denver, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
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, 4 practice at this address and 515 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Intermountain Medical Group Denver, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 06D2239636) is associated with this NPI, valid through October 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Intermountain Medical Group Denver, 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.
# Congress Park Clinic - Primary Care · NPI 1942972526
Family Medicine organization in Denver, Colorado. Organization record, active in the CMS NPPES registry since October 1, 2021.
## Identity
- **NPI:** 1942972526 (Entity type: Organization)
- **Enumerated:** October 1, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Intermountain Medical Group Denver, Llc
- **Organization subpart:** Yes (part of Intermountain Front Range, Inc.)
- **Authorized official:** Jon Mcdaniel, VP FIANCE MEDICAL GROUP
## Practice location
- **Address:** 1400 JACKSON ST STE 550, Denver, CO 80206-2761
- **Phone:** (303) 812-3800 · **Fax:** (303) 812-4172
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,267 clinicians in 46 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (428), Nurse Practitioner (134), Family Practice (115); 4 practice at this address and 515 within 10 miles; [full list](https://npiprofile.com/npi/1942972526/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 28, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1942972526) · Data from the CMS NPPES public registry.