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

Optumcare Colorado Springs, LLC

Organization General Practice Physician · NPI 1316480783

Optumcare Colorado Springs, LLC provides General Practice Physician services in Fountain, Colorado. Registered with an NPI since 2016.

In the registry since
2016
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

5115 Fontaine Blvd
Fountain, CO 80817-1061
Phone: (719) 392-2000
Fax: (719) 392-6937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1316480783
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Liethen — Secretary · (952) 205-6262
Other names Davita Medical Group
NPI enumeratedDecember 2, 2016
Last updated in NPPESAugust 20, 2019
Mailing address2 S Cascade Ave, Ste 140, Colorado Springs, CO 80903-1624

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