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

Optumcare Colorado Springs, LLC

Organization General Practice Physician · NPI 1316480783

Optumcare Colorado Springs, LLC is a General Practice Physician 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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