Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1396586152
Optumcare Colorado Medical Group Llc
Organization Subpart: YES
Active
NPI Number1396586152
NPI TypeNPI-2 Organization
SpecialtyFamily Medicine
Provider Details
NPI1396586152
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2024-06-05
Last Updated2024-08-20
Authorized OfficialEmily Castillo
Associate Director Credentialing
Phone: 7025793253
Mailing AddressPo Box 35380
Las Vegas, NV 89133-5380
United States
Phone: (719) 400-7470
📍 View Map
Primary Practice Address6340 Barnes Rd
Colorado Springs, CO 80922-2602
United States
Phone: (719) 522-1133
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Q00000X – Family Medicine--
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About NPI 1396586152

Optumcare Colorado Medical Group Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1396586152. The primary specialty listed is Family Medicine. The organization is located in Colorado Springs, CO. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2024-06-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1396586152?

NPI 1396586152 belongs to Optumcare Colorado Medical Group Llc, a Family Medicine in Colorado Springs, CO. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1396586152 active?

The current status of NPI 1396586152 in the NPPES registry is Active. The record was last updated on 2024-08-20.

What specialty is NPI 1396586152?

NPI 1396586152 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1396586152?

You can verify NPI 1396586152 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1396586152?

The primary practice address on file for NPI 1396586152 is 6340 Barnes Rd, Colorado Springs, CO 80922-2602. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1396586152 issued?

NPI 1396586152 was first issued (enumerated) on 2024-06-05. The NPPES record was last updated on 2024-08-20.

Practice Location Map

Optumcare Colorado Medical Group Llc is located at 6340 Barnes Rd, Colorado Springs, CO. Use the map below to find directions or verify the practice location.

📍 6340 Barnes Rd, Colorado Springs, CO 80922-2602  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Optumcare Colorado Medical Group Llc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-08-23 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162