POUDRE VALLEY MEDICAL GROUP, LLC
NPI 1396354866
Internal Medicine - Endocrinology, Diabetes & Metabolism in Denver, CO

NPI Status: Active since July 30, 2020

Contact Information

100 COOK STREET
SUITE 408
DENVER, CO
ZIP 80206
Phone: (720) 516-9406
Fax: (720) 516-9434

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  • Organization
  • Internal Medicine
  • Endocrinology, Diabetes & Metabolism
  • CLIA Number: 06D2189722
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-04-2026

About POUDRE VALLEY MEDICAL GROUP, LLC

This page provides the complete NPI Profile along with additional information for Poudre Valley Medical Group, Llc, an internist established in Denver, Colorado operating as a Internal Medicine, focusing in endocrinology, diabetes & metabolism . The healthcare provider is registered in the NPI registry with number 1396354866 assigned on July 2020. The practitioner's primary taxonomy code is 207RE0101X. The provider is registered as an organization and their NPI record was last updated one year ago. Poudre Valley Medical Group, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Jana Conroy (Director Of Credentialing)

NPI
1396354866
Provider Legal Name
POUDRE VALLEY MEDICAL GROUP, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
100 COOK STREET SUITE 408 DENVER, CO 80206
Location Phone
(720) 516-9406
Location Fax
(720) 516-9434
Mailing Address
2695 ROCKY MOUNTAIN AVE STE 150 LOVELAND, CO 80538
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-30-2020
Last Update Date
12-08-2025
Code Navigator

An internist like Poudre Valley Medical Group, Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

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

Internal Medicine Endocrinology, Diabetes & Metabolism

Taxonomy Code
207RE0101X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RR0500XAllopathic & Osteopathic Physicians

Internal Medicine
Rheumatology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

JANA CONROY

Authorized Official Title
DIRECTOR OF CREDENTIALING
Authorized Official Phone
(720) 516-9406

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
06D2189722
Facility Type
Physician Office
Certificate Effective Date
August 05, 2024
Certificate Expiration Date
August 04, 2026
Laboratory Director
DR. JACOB WHITSITT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Poudre Valley Medical Group, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1396354866, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

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
3
Doubled → 6
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
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 3 → 6 4 → 8 6 → 12 → 3

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 + 6 + 5 + 8 + 8 + 1 + 2 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1396354866.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Physical Medicine & Rehabilitation
100 COOK STREET, SUITE 402
DENVER, CO 80206
Dermatology
100 COOK STREET, SUITE 306
DENVER, CO 80206
Internal Medicine (Critical Care Medicine)
100 COOK STREET, STE 400
DENVER, CO 80206
Orthopaedic Surgery (Foot and Ankle Surgery)
100 COOK STREET, SUITE 406
DENVER, CO 80206
Orthopaedic Surgery (Hand Surgery)
100 COOK STREET, SUITE 406
DENVER, CO 80206
Dermatology
100 COOK STREET, SUITE 306
DENVER, CO 80206
Physician Assistant (Medical)
100 COOK STREET, SUITE 202
DENVER, CO 80206
Psychiatry & Neurology (Neurology)
100 COOK STREET, SUITE 402
DENVER, CO 80206

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396354866, enumerated as an "organization" on July 30, 2020.

The provider is located at 100 COOK STREET SUITE 408 DENVER, CO 80206 and the phone number is (720) 516-9406.

Internal Medicine with taxonomy code 207RE0101X and a focus in Endocrinology, Diabetes & Metabolism.