BANNER HEALTH PHYSICIANS COLORADO LLC
NPI 1295003366
Clinic/Center - Multi-Specialty in Greeley, CO

Active since December 05, 2011CLIA 06D0969292 · Waiver
5890 W 13TH ST STE 114, GREELEY, CO 80634(970) 378-1000 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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 1295003366) is a healthcare organization registered as a multi-specialty in Greeley, Colorado and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through June 29, 2028 and lists Dennis Laraway, Cfo, as its authorized official.

NPPES Registry Identity

NPI1295003366
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER HEALTH PHYSICIANS COLORADO LLC
Location Address5890 W 13TH ST STE 114Greeley, CO 80634-4821
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Organization SubpartYesParent: Banner Medical Group Colorado
Authorized OfficialDennis LarawayCfo · (602) 747-4000
Enumeration DateDecember 5, 2011
Last NPPES UpdateMarch 8, 2022
NPPES CertifiedMarch 8, 2022
✔ NPI 1295003366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
5890 W 13TH ST STE 114, Greeley, CO 80634

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, 9 practice at this address and 105 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
Urology
NPI 1881644532
5890 W 13TH STREET SUITE 106
Greeley, CO 80634
(970) 378-1000
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1871715078
5890 W 13TH ST STE 101
Greeley, CO 80634
(970) 810-0020
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1942594080
5890 W 13TH ST STE 101
Greeley, CO 80634
(970) 810-0020
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1720063704
5890 W 13TH ST SUITE 101
Greeley, CO 80634
(970) 348-0020
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1750573283
5890 W 13TH ST SUITE 106
Greeley, CO 80634
(970) 378-1000
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1790730562
5890 W 13TH ST 101
Greeley, CO 80634
(970) 348-0020
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1770788796
5890 W 13TH ST
Greeley, CO 80634
(970) 348-0020
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1881673820
5890 W 13TH ST SUITE 106
Greeley, CO 80634
(970) 378-1000
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1174186969
5890 W 13TH ST STE 101
Greeley, CO 80634
(970) 810-0020
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1982800835
5623 W 19TH ST
Greeley, CO 80634
(970) 353-9011
✔ PECOS✔ Accepts Medicare0.6 mi
Pediatric Medicine
NPI 1275808586
6801 W 20TH ST SUITE 201
Greeley, CO 80634
(970) 350-5828
✔ PECOS1.0 mi
Pediatric Medicine
NPI 1821344664
6801 W 20TH ST SUITE #201
Greeley, CO 80634
(970) 350-5828
✔ PECOS1.1 mi
Family Practice
NPI 1902882517
6801 W 20TH ST UNIT 101
Greeley, CO 80634
(970) 378-8000
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1780519355
2001 70TH AVE
Greeley, CO 80634
(970) 810-2500
✔ PECOS1.2 mi
Mental Health Counselor
NPI 1932165859
2001 70TH AVE STE 221
Greeley, CO 80634
(303) 482-5716
✔ PECOS✔ Accepts Medicare1.2 mi
Internal Medicine
NPI 1982106118
2001 70TH AVE STE 200
Greeley, CO 80634
(970) 810-3550
✔ PECOS✔ Accepts Medicare1.2 mi
Psychiatry
NPI 1902031149
2890 13TH ST, STE 114
Greeley, CO 80634
(970) 392-5454
✔ PECOS✔ Accepts Medicare1.6 mi
Pulmonary Disease
NPI 1144376757
6767 29TH ST FL 2
Greeley, CO 80634
(970) 224-9102
✔ PECOS✔ Accepts Medicare1.9 mi
Neurology
NPI 1962841593
2410 W 16TH ST
Greeley, CO 80634
(970) 810-5612
✔ PECOS✔ Accepts Medicare3.0 mi
Podiatry
NPI 1427436351
1600 23RD AVE
Greeley, CO 80634
(970) 810-2844
✔ PECOS✔ Accepts Medicare3.1 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

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 06D0969292

Banner Health Physicians Colorado LLC · Greeley, CO
Active · expires Jun 29, 2028
CLIA Number06D0969292
Laboratory TypePhysician Office
Certificate Effective DateJune 30, 2026
Certificate Expiration DateJune 29, 2028
Laboratory DirectorDr. James W. Wolach
Laboratory Phone(970) 378-1000
Laboratory LocationBanner Health Physicians Colorado LLC5890 W 13th St, Ste 106, Greeley, CO 80634
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 1295003366. It was assigned to this organization in the NPPES registry on December 5, 2011.

Where is Banner Health Physicians Colorado LLC located?

Banner Health Physicians Colorado LLC is located at 5890 W 13th St Ste 114, Greeley, CO 80634. The listed phone number is (970) 378-1000.

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, 9 practice at this address and 105 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Banner Health Physicians Colorado LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D0969292) is associated with this NPI, valid through June 29, 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 Health Physicians Colorado LLC was last updated on March 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.