BANNER FORT COLLINS PCP LLC
NPI 1013707207
Clinic/Center - Multi-Specialty in Fort Collins, CO

NPI Status: Active since May 09, 2025

Contact Information

3519 RICHMOND DR
FORT COLLINS, CO
ZIP 80526
Phone: (970) 449-0951

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 06D2327691
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-27-2027

About BANNER FORT COLLINS PCP LLC

This page provides the complete NPI Profile along with additional information for Banner Fort Collins Pcp Llc, a provider established in Fort Collins, Colorado operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1013707207 assigned on May 2025. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Shiva Birdi (Ceo)

NPI
1013707207
Provider Name
BANNER FORT COLLINS PCP LLC
Entity Type
Organization
Location Address
3519 RICHMOND DR FORT COLLINS, CO 80526
Location Phone
(970) 449-0951
Mailing Address
2901 N CENTRAL AVE STE 160 PHOENIX, AZ 85012
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-09-2025
Last Update Date
07-30-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHIVA BIRDI

Authorized Official Title
CEO
Authorized Official Phone
(602) 747-4000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
06D2327691
Facility Type
Physician Office
Certificate Effective Date
July 28, 2025
Certificate Expiration Date
July 27, 2027
Laboratory Director
CYNTHINA VAN FAROWE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Banner Fort Collins Pcp Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013707207, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 7 → 14 → 5 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 1 + 4 + 0 + 1 + 4 + 2 + 0 + 24 = 43

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 43 is 50. The difference is the calculated check digit.

50 - 43 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1013707207.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
3519 RICHMOND DR
FORT COLLINS, CO 80526
Dietitian, Registered
3519 RICHMOND DR
FORT COLLINS, CO 80526
Family Medicine
3519 RICHMOND DR
FORT COLLINS, CO 80526
Family Medicine
3519 RICHMOND DR
FORT COLLINS, CO 80526
Social Worker (Clinical)
3519 RICHMOND DR
FORT COLLINS, CO 80526
Internal Medicine
3519 RICHMOND DR
FORT COLLINS, CO 80526
Family Medicine
3519 RICHMOND DR
FORT COLLINS, CO 80526
Physician Assistant
3519 RICHMOND DR
FORT COLLINS, CO 80526
Family Medicine
3519 RICHMOND DR
FORT COLLINS, CO 80526
General Practice
3519 RICHMOND DR
FORT COLLINS, CO 80526
Family Medicine
3519 RICHMOND DR
FORT COLLINS, CO 80526
Family Medicine
3519 RICHMOND DR
FORT COLLINS, CO 80526
Family Medicine
3519 RICHMOND DR
FORT COLLINS, CO 80526
Family Medicine
3519 RICHMOND DR
FORT COLLINS, CO 80526
Family Medicine
3519 RICHMOND DR
FORT COLLINS, CO 80526
Family Medicine
3519 RICHMOND DR
FORT COLLINS, CO 80526
Acupuncturist
3519 RICHMOND DR
FORT COLLINS, CO 80526
Nurse Practitioner (Family)
3519 RICHMOND DR
FORT COLLINS, CO 80526
Nurse Practitioner
3519 RICHMOND DR
FORT COLLINS, CO 80526
Family Medicine
3519 RICHMOND DR
FORT COLLINS, CO 80526

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013707207, enumerated as an "organization" on May 09, 2025.

The provider is located at 3519 RICHMOND DR FORT COLLINS, CO 80526 and the phone number is (970) 449-0951.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.