Intermountain Medical Group Denver, LLC
NPI 1497367213ActiveOrganization· Family Medicine· Broomfield, CO
Family Medicine in Broomfield, Colorado, registered in NPPES in August 2020, part of Intermountain Front Range, Inc. The authorized official on file is Jon McDaniel, Vp Finance.
Overview
| NPI | 1497367213 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Intermountain Front Range, Inc. |
| NPI issued | Aug 21, 2020 |
| Last updated in NPPES | Jun 28, 2024 |
| Certified by provider | Jun 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Preventive Medicine, Occupational Medicine | 2083X0100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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