BANNER HEALTH PHYSICIANS COLORADO LLC
NPI 1396009635
Clinic/Center - Multi-Specialty in Loveland, CO

NPI Status: Active since July 02, 2012

Contact Information

2701 MADISON SQUARE DR
LOVELAND, CO
ZIP 80538
Phone: (970) 820-6660
Fax: (970) 820-1099

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 06D0902937
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-14-2026

About BANNER HEALTH PHYSICIANS COLORADO LLC

This page provides the complete NPI Profile along with additional information for Banner Health Physicians Colorado Llc, a provider established in Loveland, Colorado operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1396009635 assigned on July 2012. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Shiva Birdi Md (Ceo)

NPI
1396009635
Provider Name
BANNER HEALTH PHYSICIANS COLORADO LLC
Entity Type
Organization
Location Address
2701 MADISON SQUARE DR LOVELAND, CO 80538
Location Phone
(970) 820-6660
Location Fax
(970) 820-1099
Mailing Address
2901 N CENTRAL AVE STE 160 PHOENIX, AZ 85012
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-02-2012
Last Update Date
05-31-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHIVA BIRDI MD

Authorized Official Title
CEO
Authorized Official Phone
(602) 747-4000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
06D0902937
Facility Type
Physician Office
Certificate Effective Date
February 15, 2024
Certificate Expiration Date
February 14, 2026
Laboratory Director
DR. STEVEN R. SUNDERMAN
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Banner Health Physicians Colorado Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1396009635, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 8 + 6 + 0 + 0 + 1 + 8 + 6 + 6 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1396009635.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Family Medicine
2701 MADISON SQUARE DR
LOVELAND, CO 80538
Clinic/Center (Multi-Specialty)
2701 MADISON SQUARE DR
LOVELAND, CO 80538
Family Medicine
2701 MADISON SQUARE DR
LOVELAND, CO 80538
Registered Nurse
2701 MADISON SQUARE DR
LOVELAND, CO 80538

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396009635, enumerated as an "organization" on July 02, 2012.

The provider is located at 2701 MADISON SQUARE DR LOVELAND, CO 80538 and the phone number is (970) 820-6660.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.