BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
NPI 1154679637
Clinic/Center - Multi-Specialty in Greeley, CO
About Banner Hospital Based Physicians Colorado Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC (NPI 1154679637) is a healthcare organization registered as a multi-specialty in Greeley, Colorado and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through August 3, 2028, maintains 4 additional practice locations, and lists Shiva Birdi, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
Accepted Insurance
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 06D2348288
Banner Hospital Based Physicians Colorado LLC · Greeley, COOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Hospital Based Physicians Colorado LLC's NPI number?
The NPI number for Banner Hospital Based Physicians Colorado LLC is 1154679637. It was assigned to this organization in the NPPES registry on August 15, 2012.
Where is Banner Hospital Based Physicians Colorado LLC located?
Banner Hospital Based Physicians Colorado LLC is located at 1801 16th St, Greeley, CO 80631. The listed phone number is (970) 392-2135.
What is Banner Hospital Based Physicians Colorado LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Does Banner Hospital Based Physicians Colorado LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 06D2348288) is associated with this NPI, valid through August 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Banner Hospital Based Physicians Colorado LLC accept?
Health plans from Medica list Banner Hospital Based 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 Hospital Based Physicians Colorado LLC was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Banner Hospital Based Physicians Colorado Llc · NPI 1154679637
Multi-Specialty organization in Greeley, Colorado. Organization record, active in the CMS NPPES registry since August 15, 2012.
## Identity
- **NPI:** 1154679637 (Entity type: Organization)
- **Enumerated:** August 15, 2012
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** Yes (part of Banner Medical Group Colorado)
- **Authorized official:** Shiva Birdi, CEO
## Practice location
- **Address:** 1801 16TH ST, Greeley, CO 80631-5154
- **Phone:** (970) 392-2135
## Record status
- **NPPES last updated:** April 13, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154679637) · Data from the CMS NPPES public registry.