OPTUMCARE COLORADO MEDICAL GROUP LLC NPI 1659641900

NPI Information

  • NPI: 1659641900
  • Provider Name: OPTUMCARE COLORADO MEDICAL GROUP LLC
  • Classification: Non-Pharmacy Dispensing Site - 332900000X
  • Entity Type: Organization
  • Doing Business As: OPTUM COLORADO SPRINGS
  • CLIA Number: 06D2289090
  • Address: 1633 MEDICAL CENTER PT
    COLORADO SPRINGS, CO
    ZIP 80907
  • Phone: (719) 636-2999

Map and Directions

Get Directions

NPI Details

OPTUMCARE COLORADO MEDICAL GROUP LLC is a non pharmacy dispensing site in Colorado Springs, CO. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) OPTUMCARE COLORADO MEDICAL GROUP LLC NPI is 1659641900. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Optum Colorado Springs.

The provider's business location address is:

1633 MEDICAL CENTER PT
COLORADO SPRINGS, CO
ZIP 80907-700
Phone: (719) 636-2999
Fax: (719) 475-2042

The provider's authorized official is Emily Castillo .
The authorized official title is Associate Director Credentialing and has the following contact phone number (702) 579-3253.

The CLIA number assigned to this NPI record is 06D2289090 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2012 and was last updated on 8/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyNo
2207ND0900XDermatologyDermatopathologyNo
3207Q00000XFamily MedicineNo
4207RG0100XInternal MedicineGastroenterologyNo
5207RP1001XInternal MedicinePulmonary DiseaseNo
62084N0400XPsychiatry & NeurologyNeurologyNo
7208D00000XGeneral PracticeNo
8332900000XNon-Pharmacy Dispensing SiteYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI