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

Ann-Sophie Van Backle, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649809989

Ann-Sophie Van Backle, DO is an Obstetrics/Gynecology in Denver, Colorado. Qualified in 2020, 6 years ago. Practices with Intermountain Medical Group Denver LLC, a 567-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Michigan.

Years since qualifying
6
Licensed in
CO, MI
In the registry since
2020
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1960 N Ogden St Ste 340
Denver, CO 80218-3669
Phone: (303) 318-3830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1375 E 19th Ave, Denver, CO 80218-1114 — (303) 812-2000

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 0009369 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 5151014663 (MI)

Record details

NPI number1649809989
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 8, 2020
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022
Mailing address1960 N Ogden St Ste 340, Denver, CO 80218-3669

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Intermountain Medical Group Denver Llc — 567 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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