Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Optumcare Colorado Medical Group LLC

Organization Dermatology Physician · NPI 1659641900

Optumcare Colorado Medical Group LLC is a Dermatology Physician in Colorado Springs, Colorado. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
8
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

1633 Medical Center Pt
Colorado Springs, CO 80907-5700
Phone: (719) 636-2999
Fax: (719) 475-2042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X
Dermatology Physician Taxonomy 207N00000X
Dermatopathology Physician Taxonomy 207ND0900X
Family Medicine Physician Taxonomy 207Q00000X
Gastroenterology Physician Taxonomy 207RG0100X
Pulmonary Disease Physician Taxonomy 207RP1001X
Neurology Physician Taxonomy 2084N0400X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1659641900
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emily Castillo — Associate Director Credentialing · (702) 579-3253
Other names Optum Colorado Springs; Optum Colorado Springs; Colorado Springs Health Partners Llc; Davita Medical Group Colorado Springs Llc; Optumcare Colorado Springs Llc
NPI enumeratedJanuary 4, 2012
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024
Mailing addressPo Box 35380, Las Vegas, NV 89133-5380

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