Optum Colorado Springs - Roundhouse – Family Medicine Physician, NPI 1104242700

Optum Colorado Springs - Roundhouse is a healthcare provider. based in Las vegas, Nevada. specializing in Family Medicine Physician. The NPI Number for Optum Colorado Springs - Roundhouse is 1104242700

Main info

Organization
Name
Optum Colorado Springs - Roundhouse
NPI
1104242700
Phone
(702) 579-3203
Address
PO BOX 35380
Authorized Official
EMILY CASTILLO ASSOCIATE DIRECTOR CREDENTIALING
Enumeration Date
7 March 2014
Last Update Date
20 August 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness80
Years active:12State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Optum Colorado Springs - Roundhouse

  • PO BOX 35380

    LAS VEGAS, NV 891335380

    Phone: (702) 579-3203

    Fax: (719) 538-2997

    Type: Mailing

  • 600 S 21ST STREET

    STE 100

    COLORADO SPRINGS, CO 80904

    Phone: (719) 635-5900

    Type: Location

  • 2 S CASCADE AVE

    SUITE 140

    COLORADO SPRINGS, CO 809031653

    Phone: (719) 538-2900

    Fax: (719) 538-2987

    Type: Mailing

  • 600 S 21ST ST UNIT 100

    COLORADO SPRINGS, CO 809043763

    Phone: (719) 522-1133

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89133)

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Reviews

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Frequently asked questions

Does Optum Colorado Springs - Roundhouse have a public NPI I can cite?
Public records show Optum Colorado Springs - Roundhouse under NPI 1104242700.
Does the public listing show Optum Colorado Springs - Roundhouse as active?
Optum Colorado Springs - Roundhouse's NPI record reflects an active status in NPPES.
What services align with Optum Colorado Springs - Roundhouse's listing?
Optum Colorado Springs - Roundhouse's public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Optum Colorado Springs - Roundhouse?
Optum Colorado Springs - Roundhouse is associated with Las Vegas, Nevada in the same public data insurers reference.
Can I export Optum Colorado Springs - Roundhouse's record?
You can download the official NPPES record; we summarize key fields for readability.

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