BANNER HEALTH PHYSICIANS COLORADO LLC
NPI 1194121293
Clinic/Center - Multi-Specialty in Fort Collins, CO

Active since November 17, 2014
4700 LADY MOON DR STE C1, FORT COLLINS, CO 80528(970) 821-4500 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 15, 2026, Mar 3, 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 1194121293) is a healthcare organization registered as a multi-specialty in Fort Collins, Colorado and active in the NPI registry since November 2014. The organization lists Shiva Birdi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194121293
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER HEALTH PHYSICIANS COLORADO LLC
Location Address4700 LADY MOON DR STE C1Fort Collins, CO 80528-4426
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Organization SubpartYesParent: Banner Medical Group Colorado
Authorized OfficialShiva BirdiCeo · (602) 747-4000
Enumeration DateNovember 17, 2014
Last NPPES UpdateApril 15, 20262 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1194121293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
4700 LADY MOON DR STE C1, Fort Collins, CO 80528

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, 5 practice at this address and 65 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
General Surgery
NPI 1609431733
4700 LADY MOON DR STE C1
Fort Collins, CO 80528
(970) 821-4500
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1639597529
4700 LADY MOON DR
Fort Collins, CO 80528
(970) 810-3894
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1134565096
4700 LADY MOON DR
Fort Collins, CO 80528
(970) 821-4000
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1043673403
4700 LADY MOON DR
Fort Collins, CO 80528
(970) 420-0905
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1508247156
4700 LADY MOON DR
Fort Collins, CO 80528
(917) 821-4000
✔ PECOSSame address
Nurse Practitioner
NPI 1639541550
2121 E HARMONY RD SUITE 100
Fort Collins, CO 80528
(970) 221-1000
✔ PECOS✔ Accepts Medicare1.5 mi
Family Practice
NPI 1144740705
4650 SIGNAL TREE DR UNIT B200
Timnath, CO 80547
(970) 810-3150
✔ PECOS✔ Accepts Medicare1.7 mi
Family Practice
NPI 1346820735
4650 SIGNAL TREE DR
Timnath, CO 80547
(970) 821-3830
✔ PECOS✔ Accepts Medicare1.7 mi
Family Practice
NPI 1508027632
2025 BIGHORN RD
Fort Collins, CO 80525
(970) 229-9800
✔ PECOS1.9 mi
Mental Health Counselor
NPI 1871608547
4856 INNOVATION DR
Fort Collins, CO 80525
(970) 494-4200
✔ PECOS✔ Accepts Medicare2.0 mi
Mental Health Counselor
NPI 1417125618
4856 INNOVATION DR
Fort Collins, CO 80525
(970) 494-4200
✔ PECOS✔ Accepts Medicare2.0 mi
Family Practice
NPI 1235110602
8201 SPINNAKER BAY DR SUITE D
Windsor, CO 80528
(970) 223-2272
✔ PECOS✔ Accepts Medicare4.0 mi
Nurse Practitioner
NPI 1730714056
627 PARKER ST
Fort Collins, CO 80525
(305) 323-7345
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1902260862
1029 ROBERTSON ST
Fort Collins, CO 80524
(719) 384-8181
✔ PECOS✔ Accepts Medicare4.5 mi
Nurse Practitioner
NPI 1689273278
303 COLLAND DR
Fort Collins, CO 80525
(970) 821-3031
✔ PECOS✔ Accepts Medicare4.5 mi
Family Practice
NPI 1750364931
303 COLLAND DR
Fort Collins, CO 80525
(970) 461-8031
✔ PECOS✔ Accepts Medicare4.5 mi
Nurse Practitioner
NPI 1053373522
1025 PENNOCK PL FAMILY MEDICINE CENTER
Fort Collins, CO 80524
(970) 495-8800
✔ PECOS✔ Accepts Medicare4.6 mi
Registered Dietitian or Nutrition Professional
NPI 1598681801
702A W DRAKE RD
Fort Collins, CO 80526
(970) 821-4600
4.8 mi
Orthopedic Surgery
NPI 1255314522
702A W DRAKE RD
Fort Collins, CO 80526
(970) 810-0255
✔ PECOS✔ Accepts Medicare4.8 mi
Registered Dietitian or Nutrition Professional
NPI 1588443568
702A W DRAKE RD
Fort Collins, CO 80526
(970) 821-4600
4.8 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.

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 1194121293. It was assigned to this organization in the NPPES registry on November 17, 2014.

Where is Banner Health Physicians Colorado LLC located?

Banner Health Physicians Colorado LLC is located at 4700 Lady Moon Dr Ste C1, Fort Collins, CO 80528. The listed phone number is (970) 821-4500.

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, 5 practice at this address and 65 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Banner Health Physicians Colorado LLC was last updated on April 15, 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.