Intermountain Medical Group Denver, LLC
NPI 1083598874ActiveOrganization· Orthopaedic Surgery, Sports Medicine· Denver, CO
Orthopaedic Surgery, Sports Medicine in Denver, Colorado, registered in NPPES in August 2025, part of Intermountain Front Range, Inc. The authorized official on file is Jon McDaniel, Vp Finance. Enrolled in Medicare as dme supplier - physician - orthopedic/orthopedic surgery.
Overview
| NPI | 1083598874 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Intermountain Front Range, Inc. |
| NPI issued | Aug 4, 2025 |
| Last updated in NPPES | Dec 22, 2025 |
| Certified by provider | Dec 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Sports Medicine Primary | 207XX0005X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Orthopedic/Orthopedic Surgery (CO) |
|---|
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