BANNER HEALTH PHYSICIANS COLORADO LLC
NPI 1003154949
Clinic/Center - Multi-Specialty in Greeley, CO

Active since January 28, 2013CLIA 53D2207919 · Waiver
2001 70TH AVE, GREELEY, CO 80634(970) 392-2135(970) 378-3825 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Banner Health Physicians Colorado Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BANNER HEALTH PHYSICIANS COLORADO LLC (NPI 1003154949) is a healthcare organization registered as a multi-specialty in Greeley, Colorado and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through December 30, 2026 and lists Dennis Laraway, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003154949
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER HEALTH PHYSICIANS COLORADO LLC
Location Address2001 70TH AVEGreeley, CO 80634-4621
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Fax(970) 378-3825
Organization SubpartYesParent: Banner Medical Group Colorado
Authorized OfficialDennis LarawayCfo · (602) 747-4000
Enumeration DateJanuary 28, 2013
Last NPPES UpdateDecember 29, 2021
NPPES CertifiedDecember 29, 2021
✔ NPI 1003154949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2001 70TH AVE, Greeley, CO 80634

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Banner Health Physicians Colorado Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

322

Medicare enrollment records show 322 clinicians reassign Medicare billing to Banner Health Physicians Colorado LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 107 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 44

Nurse Practitioner60
Family Practice53
General Surgery27
Orthopedic Surgery27
Gastroenterology17
Obstetrics/Gynecology15
Cardiovascular Disease (Cardiology)13
Pediatric Medicine10
36 other specialties100

Nearest to this location (20)

See all 322
Mental Health Counselor
NPI 1932165859
2001 70TH AVE STE 221
Greeley, CO 80634
(303) 482-5716
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1982106118
2001 70TH AVE STE 200
Greeley, CO 80634
(970) 810-3550
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1780519355
2001 70TH AVE
Greeley, CO 80634
(970) 810-2500
✔ PECOSSame address
Family Practice
NPI 1578191789
2000 70TH AVE
Greeley, CO 80634
(970) 810-3550
✔ PECOS✔ Accepts Medicare0.1 mi
Pediatric Medicine
NPI 1821344664
6801 W 20TH ST SUITE #201
Greeley, CO 80634
(970) 350-5828
✔ PECOS0.1 mi
Family Practice
NPI 1902882517
6801 W 20TH ST UNIT 101
Greeley, CO 80634
(970) 378-8000
✔ PECOS✔ Accepts Medicare0.1 mi
Pediatric Medicine
NPI 1275808586
6801 W 20TH ST SUITE 201
Greeley, CO 80634
(970) 350-5828
✔ PECOS0.3 mi
Pulmonary Disease
NPI 1144376757
6767 29TH ST FL 2
Greeley, CO 80634
(970) 224-9102
✔ PECOS✔ Accepts Medicare1.1 mi
Family Practice
NPI 1982800835
5623 W 19TH ST
Greeley, CO 80634
(970) 353-9011
✔ PECOS✔ Accepts Medicare1.2 mi
Urology
NPI 1881644532
5890 W 13TH STREET SUITE 106
Greeley, CO 80634
(970) 378-1000
✔ PECOS✔ Accepts Medicare1.2 mi
Orthopedic Surgery
NPI 1871715078
5890 W 13TH ST STE 101
Greeley, CO 80634
(970) 810-0020
✔ PECOS✔ Accepts Medicare1.2 mi
Psychiatry
NPI 1902031149
2890 13TH ST, STE 114
Greeley, CO 80634
(970) 392-5454
✔ PECOS✔ Accepts Medicare2.7 mi
Nurse Practitioner
NPI 1326996083
1801 16TH ST
Greeley, CO 80631
(970) 810-2346
✔ PECOS3.1 mi
Gynecological Oncology
NPI 1548448442
1801 16TH ST
Greeley, CO 80631
(970) 810-3894
✔ PECOS✔ Accepts Medicare3.1 mi
Cardiovascular Disease (Cardiology)
NPI 1194341131
1801 16TH ST
Greeley, CO 80631
(970) 810-6010
✔ PECOS3.1 mi
Neurology
NPI 1962841593
2410 W 16TH ST
Greeley, CO 80634
(970) 810-5612
✔ PECOS✔ Accepts Medicare4.0 mi
Podiatry
NPI 1427436351
1600 23RD AVE
Greeley, CO 80634
(970) 810-2844
✔ PECOS✔ Accepts Medicare4.2 mi
Registered Dietitian or Nutrition Professional
NPI 1962653477
1600 23RD AVE
Greeley, CO 80634
(970) 810-2424
4.2 mi
Gastroenterology
NPI 1013113547
2010 16TH ST STE A
Greeley, CO 80631
(970) 810-4475
✔ PECOS✔ Accepts Medicare4.4 mi
Internal Medicine
NPI 1356349823
1900 16TH ST
Greeley, CO 80631
(970) 350-2438
✔ PECOS✔ Accepts Medicare4.4 mi
See all 322 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 53D2207919

Banner Health Clinic · Riverton, WY
Active · expires Dec 30, 2026
CLIA Number53D2207919
Laboratory TypePhysician Office
Certificate Effective DateDecember 31, 2024
Certificate Expiration DateDecember 30, 2026
Laboratory DirectorSameh Abuerreish
Laboratory Phone(602) 747-4000
Laboratory LocationBanner Health Clinic2300 Gasser Rd, Riverton, WY 82501
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Banner Health Physicians Colorado LLC's NPI number?

The NPI number for Banner Health Physicians Colorado LLC is 1003154949. It was assigned to this organization in the NPPES registry on January 28, 2013.

Where is Banner Health Physicians Colorado LLC located?

Banner Health Physicians Colorado LLC is located at 2001 70th Ave, Greeley, CO 80634. The listed phone number is (970) 392-2135.

What is Banner Health Physicians Colorado LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Banner Health Physicians Colorado LLC enrolled in Medicare?

Yes. Banner Health Physicians Colorado LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Banner Health Physicians Colorado LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 322 clinicians in 44 Medicare specialties reassign their Medicare billing to Banner Health Physicians Colorado LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (60), Family Practice (53) and General Surgery (27). Of these, 3 practice at this address and 107 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Banner Health Physicians Colorado LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D2207919) is associated with this NPI, valid through December 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Banner Health Physicians Colorado LLC was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.