Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Optumcare Colorado Medical Group LLC

Organization Family Medicine Physician · NPI 1104242700

Optumcare Colorado Medical Group LLC provides Family Medicine Physician services in Colorado Springs, Colorado. Licensed in Colorado. Registered with an NPI since 2014.

Licensed in
CO
In the registry since
2014
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

600 S 21st St Unit 100
Colorado Springs, CO 80904-3763
Phone: (719) 522-1133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Emergency Care Clinic/Center Taxonomy 261QE0002X (CO)
Non-Pharmacy Dispensing Site Taxonomy 332900000X (CO)

Record details

NPI number1104242700
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emily Castillo — Associate Director Credentialing · (702) 579-3253
Other names Optum Colorado Springs - Roundhouse; Colorado Springs Health Partners Llc; Davita Medical Group Colorado Springs Llc; Optumcare Colorado Springs Llc
NPI enumeratedMarch 7, 2014
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024
Mailing addressPo Box 35380, Las Vegas, NV 89133-5380

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