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BANNER HEALTH PHYSICIANS COLORADO LLC
NPI 1548521255
Clinic/Center - Multi-Specialty in Fort Collins, CO

Active since May 30, 2012CLIA 06D0989649 · Microscopy
303 COLLAND DR, FORT COLLINS, CO 80525(970) 461-8031 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 16, 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 1548521255) is a healthcare organization registered as a multi-specialty in Fort Collins, Colorado and active in the NPI registry since May 2012. The organization holds a CLIA Microscopy certificate valid through December 5, 2026 and lists Shiva Birdi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548521255
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER HEALTH PHYSICIANS COLORADO LLC
Location Address303 COLLAND DRFort Collins, CO 80525-4205
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(970) 461-8031
Organization SubpartYesParent: Banner Medical Group Colorado
Authorized OfficialShiva BirdiCeo · (602) 747-4000
Enumeration DateMay 30, 2012
Last NPPES UpdateApril 16, 20262 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1548521255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
303 COLLAND DR, Fort Collins, CO 80525
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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 for Provider-Performed Microscopy Procedures (PPMP) 06D0989649

Banner Health Physicians Colorado LLC · Ft Collins, CO
Active · expires Dec 5, 2026
CLIA Number06D0989649
Laboratory TypePhysician Office
Certificate Effective DateDecember 6, 2024
Certificate Expiration DateDecember 5, 2026
Laboratory DirectorDr. Diane Zug
Laboratory Phone(970) 461-8031
Laboratory LocationBanner Health Physicians Colorado LLC303 Colland Dr, Ft Collins, CO 80525
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BIG THOMPSON MEDICAL GROUP INC.
Clinic/Center (Multi-Specialty)
303 COLLAND DR
FORT COLLINS, CO 80525
Larimer County (970) 461-8031
MS. CAROL FOX GOTHAM NP
Nurse Practitioner (Family)
303 COLLAND DR
FORT COLLINS, CO 80525
Larimer County (970) 461-8031
KINDRA ROSE DAVIS APN-NP
Nurse Practitioner (Family)
303 COLLAND DR
FORT COLLINS, CO 80525
Larimer County (970) 821-3525
MAELENE KAY SCHUHMACHER-OMAR APRN
Nurse Practitioner (Family)
303 COLLAND DR
FORT COLLINS, CO 80525
Larimer County (970) 821-3031
SCOTT J SCHAFFER MD
Family Medicine
303 COLLAND DR
FORT COLLINS, CO 80525
Larimer County (970) 461-8031
JENNIFER MAIN RUTBERG MD
Internal Medicine
303 COLLAND DR, BANNER HEALTH CLINIC
FORT COLLINS, CO 80525
Larimer County (970) 461-8031
MS. ANN E. COPE LPC, CACII
Counselor (Mental Health)
303 COLLAND DR
FORT COLLINS, CO 80525
Larimer County (970) 821-3810

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 1548521255. It was assigned to this organization in the NPPES registry on May 30, 2012.

Where is Banner Health Physicians Colorado LLC located?

Banner Health Physicians Colorado LLC is located at 303 Colland Dr, Fort Collins, CO 80525. The listed phone number is (970) 461-8031.

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.

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

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D0989649) is associated with this NPI, valid through December 5, 2026. 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 April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.