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
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 Hospital Based Physicians Colorado Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
163Medicare enrollment records show 163 clinicians reassign Medicare billing to Banner Hospital Based Physicians Colorado LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 61 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 29
Nearest to this location (20)
See all 163Source: 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 06D2348288
Banner Hospital Based Physicians Colorado LLC · Greeley, COFrequently 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.
Is Banner Hospital Based Physicians Colorado LLC enrolled in Medicare?
Yes. Banner Hospital Based Physicians Colorado LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Banner Hospital Based Physicians Colorado LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 163 clinicians in 29 Medicare specialties reassign their Medicare billing to Banner Hospital Based 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 Family Practice (30), Internal Medicine (26) and Nurse Practitioner (25). Of these, 3 practice at this address and 61 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 6 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
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 163 clinicians in 29 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (30), Internal Medicine (26), Nurse Practitioner (25); 3 practice at this address and 61 within 10 miles; [full list](https://npiprofile.com/npi/1154679637/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## 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.