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BANNER HEALTH PHYSICIANS COLORADO LLC
NPI 1073899134
Clinic/Center - Multi-Specialty in Greeley, CO

Active since November 02, 2011CLIA Certified · 17 labs
1800 15TH ST STE 210, GREELEY, CO 80631(970) 810-5120 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 13, 2026, Jan 26, 2022 (2 updates tracked since 2022).

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 1073899134) is a healthcare organization registered as a multi-specialty in Greeley, Colorado and active in the NPI registry since November 2011. The organization holds 17 active CLIA laboratory certificates, maintains 54 additional practice locations, and lists Shiva Birdi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073899134
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER HEALTH PHYSICIANS COLORADO LLC
Location Address1800 15TH ST STE 210Greeley, CO 80631-4563
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(970) 810-5120
Organization SubpartYesParent: Banner Medical Group
Authorized OfficialShiva BirdiCeo · (602) 747-4000
Enumeration DateNovember 2, 2011
Last NPPES UpdateJune 24, 20262 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1073899134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1800 15TH ST STE 210, Greeley, CO 80631
Open in Google Maps ↗

Secondary Practice Locations 54

Location 14700 Lady Moon Dr Ste C1Fort Collins, CO 80528-4426 · Phone (970) 821-4500
Location 24650 Signal Tree Dr Unit B200Timnath, CO 80547-4911 · Phone (970) 821-3830
Location 34700 Lady Moon DrFort Collins, CO 80528-4426 · Phone (970) 821-4000
Location 44700 Lady Moon Dr Ste C2Fort Collins, CO 80528-4426 · Phone (970) 810-5996
Location 54700 Lady Moon Dr Ste C3Fort Collins, CO 80528-4426 · Phone (970) 810-0255
Location 6500 Main StFort Morgan, CO 80701-2130 · Phone (970) 542-0360
Location 75451 E Harmony Rd Bldg 2Timnath, CO 80547-2412 · Phone (970) 821-3830
Location 85623 19th StGreeley, CO 80634-2901 · Phone (970) 810-9011
Location 95890 W 13th St Ste 101Greeley, CO 80634-4821 · Phone (970) 810-0020
Location 105890 W 13th St Ste 104Greeley, CO 80634-4821 · Phone (970) 810-4475
Location 115890 W 13th St Ste 106Greeley, CO 80634-4821 · Phone (970) 810-1000
Location 12909 E Railroad Ave Ste 102Fort Morgan, CO 80701-3301 · Phone (970) 542-4700
Location 13615 Fairhurst StSterling, CO 80751-4523 · Phone (970) 522-0122
Location 14702 A W Drake RdFort Collins, CO 80526-5556 · Phone (970) 821-4600
Location 157859 6th St, Mailing PO BOX 574Wellington, CO 80549-0001 · Phone (970) 821-3200
Location 16100 S Cherry Ave Unit 1Eaton, CO 80615-8256 · Phone (970) 454-3838
Location 171017 W 7th StWray, CO 80758-1420 · Phone (970) 332-2225
Location 181230 14th St SWLoveland, CO 80537-6324 · Phone (970) 820-3999
Location 191300 Main StWindsor, CO 80550-5989 · Phone (970) 686-5646
Location 201000 W 8th AveYuma, CO 80759-2641 · Phone (970) 848-5405
Location 211405 S 8th Ave Ste 101Sterling, CO 80751-4563 · Phone (970) 522-2264
Location 221001 E Johnson StHolyoke, CO 80734-1854 · Phone (970) 854-2241
Location 231405 S 8th Ave Ste 104Sterling, CO 80751-4560 · Phone (970) 526-8181
Location 242001 70th Ave Ste 200Greeley, CO 80634-4613 · Phone (970) 810-3550
Location 25201 14th StWheatland, WY 82201-3201 · Phone (307) 322-3636
Location 262010 16th St Ste AGreeley, CO 80631-5188 · Phone (970) 810-4475
Location 27222 Johnstown Center DrJohnstown, CO 80534-9030 · Phone (970) 587-4974
Location 282400 Edison StBrush, CO 80723-1640 · Phone (970) 842-6200
Location 292400 Edison St Ste 102Brush, CO 80723-1640 · Phone (970) 842-6200
Location 302410 W 16th StGreeley, CO 80634-6004 · Phone (970) 810-5612
Location 312001 70th Ave Ste 221Greeley, CO 80634-4613 · Phone (970) 810-5454
Location 322001 70th Ave Ste 300Greeley, CO 80634-4632 · Phone (970) 810-3550
Location 331800 15th St Ste 100BGreeley, CO 80631-4595 · Phone (970) 810-5418
Location 341800 15th St Ste 200Greeley, CO 80631-4563 · Phone (970) 810-8216
Location 351800 15th St Ste 310Greeley, CO 80631-4562 · Phone (970) 810-0900
Location 361800 15th St Ste 340Greeley, CO 80631-4562 · Phone (970) 810-4593
Location 371405 S 8th Ave Ste 105Sterling, CO 80751-4560 · Phone (970) 526-8100
Location 381800 15th St Ste 220Greeley, CO 80631-4595 · Phone (970) 810-5612
Location 391801 16th St Ste C2BGreeley, CO 80631-5154 · Phone (970) 810-4121
Location 401813 Cheyenne AveLoveland, CO 80538-4244 · Phone (970) 810-4676
Location 412701 Madison Square DrLoveland, CO 80538-3386 · Phone (970) 820-6660
Location 422923 Ginnala DrLoveland, CO 80538-2702 · Phone (970) 820-5000
Location 432555 E 13th St Ste 130Loveland, CO 80537-5135 · Phone (970) 820-5437
Location 44303 Colland DrFort Collins, CO 80525-4205 · Phone (970) 821-3031
Location 452555 E 13th St Ste 105Loveland, CO 80537-5134 · Phone (970) 820-6300
Location 462555 E 13th St Ste 230Loveland, CO 80537-5133 · Phone (970) 820-2475
Location 47401 10th StBerthoud, CO 80513-1381 · Phone (970) 532-4910
Location 481900 Boise Ave Ste 200Loveland, CO 80538-5004 · Phone (970) 820-2400
Location 491900 Boise Ave Ste 300Loveland, CO 80538-5004 · Phone (970) 820-2009
Location 501900 Boise Ave Ste 410Loveland, CO 80538-5004 · Phone (970) 820-2610
Location 512000 Boise AveLoveland, CO 80538-5006 · Phone (970) 820-4640
Location 522000 Campbell DrTorrington, WY 82240-1528 · Phone (307) 532-4181
Location 532001 70th Ave Ste 110Greeley, CO 80634-4628 · Phone (970) 810-6222
Location 541900 Boise Ave Ste 420Loveland, CO 80538-5004 · Phone (970) 820-3212

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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, 19 practice at this address and 89 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
David Bicknell, D.O.
Cardiac Electrophysiology
NPI 1679541338
1800 15TH STREET SUITE 310
Greeley, CO 80631
(970) 810-0900
✔ PECOS✔ Accepts MedicareSame address
Cara Bruntz, NP
Nurse Practitioner
NPI 1194089425
1800 15TH ST STE 310
Greeley, CO 80631
(970) 810-0900
✔ PECOS✔ Accepts MedicareSame address
Alexandra Carron, NP
Nurse Practitioner
NPI 1801606553
1800 15TH ST STE 310
Greeley, CO 80631
(970) 810-0900
✔ PECOS✔ Accepts MedicareSame address
Scott Freeman, M.D.
Hospitalist
NPI 1821484072
1800 15TH ST STE 310
Greeley, CO 80631
(970) 810-0900
✔ PECOS✔ Accepts MedicareSame address
Sameah Haider, M.D.
Neurosurgery
NPI 1962866780
1800 15TH ST STE 100B
Greeley, CO 80631
(970) 810-5996
✔ PECOS✔ Accepts MedicareSame address
Charles Marriott, MD
General Surgery
NPI 1871122135
1800 15TH ST STE 200
Greeley, CO 80631
(970) 810-8216
✔ PECOS✔ Accepts MedicareSame address
Chad Morrison, D.O.
General Surgery
NPI 1366854978
1800 15TH ST
Greeley, CO 80631
(970) 810-5535
✔ PECOS✔ Accepts MedicareSame address
Reed Quinn, MD
Thoracic Surgery
NPI 1659382653
1800 15TH ST STE 340
Greeley, CO 80631
(970) 810-4593
✔ PECOSSame address
Devin Sponseller
Vascular Surgery
NPI 1609237049
1800 15TH ST STE 220
Greeley, CO 80631
(970) 810-5612
✔ PECOS✔ Accepts MedicareSame address
Robert Vickerman, MD
General Surgery
NPI 1023085511
1800 15TH ST SUITE 210
Greeley, CO 80631
(970) 352-8216
✔ PECOS✔ Accepts MedicareSame address
Lin-Wang Dong, MD
Cardiovascular Disease (Cardiology)
NPI 1114064490
1800 15TH ST SUITE 310
Greeley, CO 80631
(970) 392-0900
✔ PECOS✔ Accepts MedicareSame address
Gary Rath, MD
Cardiovascular Disease (Cardiology)
NPI 1144284456
1800 15TH ST SUITE 310
Greeley, CO 80631
(970) 392-0900
✔ PECOS✔ Accepts MedicareSame address
Kenneth Richards, MD
Cardiac Surgery
NPI 1083689376
1800 15TH ST SUITE 340
Greeley, CO 80631
(970) 378-4593
✔ PECOSSame address
Randall Marsh, MD
Cardiovascular Disease (Cardiology)
NPI 1720042161
1800 15TH ST SUITE 310
Greeley, CO 80631
(970) 392-0900
✔ PECOS✔ Accepts MedicareSame address
Lynn Boyce, FNP
Nurse Practitioner
NPI 1831329341
1800 15TH ST STE 310
Greeley, CO 80631
(970) 810-0900
✔ PECOS✔ Accepts MedicareSame address
Cecilia Hirsch, MD
Cardiovascular Disease (Cardiology)
NPI 1700923059
1800 15TH ST STE 310
Greeley, CO 80631
(970) 392-0900
✔ PECOS✔ Accepts MedicareSame address
Mahmoud Salem, MD
Cardiovascular Disease (Cardiology)
NPI 1932695541
1800 15TH ST STE 310
Greeley, CO 80631
(970) 810-0900
✔ PECOS✔ Accepts MedicareSame address
Karen Volpe, M.D.
Infectious Disease
NPI 1497109904
1800 15TH ST STE 210
Greeley, CO 80631
(970) 810-5120
✔ PECOS✔ Accepts MedicareSame address
Rebecca Wernli, APRN
Nurse Practitioner
NPI 1689014250
1800 15TH ST STE 310
Greeley, CO 80631
(970) 810-0900
✔ PECOSSame address
Caleb Barnhill, M.D.
Plastic and Reconstructive Surgery
NPI 1225417728
1801 16TH ST
Greeley, CO 80631
(970) 810-4121
✔ PECOS✔ Accepts Medicare0.1 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 17

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 06D0516523

Banner Health Physicians Colorado, LLC · Eaton, CO
Active · expires Sep 8, 2028
CLIA Number06D0516523
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2026
Certificate Expiration DateSeptember 8, 2028
Laboratory DirectorDr. Lance A. Reynoso
Laboratory Phone(970) 454-3838
Laboratory LocationBanner Health Physicians Colorado, LLC100 South Cherry Ave, Unit 1, Eaton, CO 80615
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 06D2152791

Banner Health Physicians Colorado, LLC · Greeley, CO
Active · expires Aug 15, 2028
CLIA Number06D2152791
Laboratory TypePhysician Office
Certificate Effective DateAugust 16, 2026
Certificate Expiration DateAugust 15, 2028
Laboratory DirectorTracy D. Nunnally
Laboratory Phone(970) 810-3550
Laboratory LocationBanner Health Physicians Colorado, LLC2001 70th Ave Suite 200, Greeley, CO 80634
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 06D2304642

Banner Health Physicians Colorado LLC · Sterling, CO
Active · expires May 15, 2028
CLIA Number06D2304642
Laboratory TypePhysician Office
Certificate Effective DateMay 16, 2026
Certificate Expiration DateMay 15, 2028
Laboratory DirectorBarbara Berg
Laboratory Phone(970) 522-2264
Laboratory LocationBanner Health Physicians Colorado LLC1405 S 8th Ave, Suite 101, Sterling, CO 80751
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 06D2341714

Banner Health Physicians Colorado LLC · Fort Morgan, CO
Active · expires Apr 6, 2028
CLIA Number06D2341714
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorGarrett Urban
Laboratory Phone(970) 542-0360
Laboratory LocationBanner Health Physicians Colorado LLC500 Main St, Fort Morgan, CO 80701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 06D2339695

Banner Health Physicians Colorado LLC · Timnath, CO
Active · expires Mar 4, 2028
CLIA Number06D2339695
Laboratory TypePhysician Office
Certificate Effective DateMarch 5, 2026
Certificate Expiration DateMarch 4, 2028
Laboratory DirectorPaige A. Helm
Laboratory Phone(970) 821-3830
Laboratory LocationBanner Health Physicians Colorado LLC5451 E Harmony Rd Bldg 2, Timnath, CO 80547
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 06D0902937

Banner Health Physicians Colorado LLC · Loveland, CO
Active · expires Feb 14, 2028
CLIA Number06D0902937
Laboratory TypePhysician Office
Certificate Effective DateFebruary 15, 2026
Certificate Expiration DateFebruary 14, 2028
Laboratory DirectorDr. Steven R. Sunderman
Laboratory Phone(970) 820-6660
Laboratory LocationBanner Health Physicians Colorado LLC2701 Madison Square Dr, Loveland, CO 80538
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 1073899134. It was assigned to this organization in the NPPES registry on November 2, 2011.

Where is Banner Health Physicians Colorado LLC located?

Banner Health Physicians Colorado LLC is located at 1800 15th St Ste 210, Greeley, CO 80631. The listed phone number is (970) 810-5120.

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, 19 practice at this address and 89 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Banner Health Physicians Colorado LLC hold CLIA laboratory certificates?

Yes. 17 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Banner Health Physicians Colorado LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Nebraska list Banner Health Physicians Colorado LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Banner Health Physicians Colorado LLC was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.