BANNER HEALTH PHYSICIANS COLORADO LLC
NPI 1730526096
Clinic/Center - Multi-Specialty in Fort Collins, CO

NPI Status: Active since May 28, 2013

Contact Information

702A W DRAKE RD
FORT COLLINS, CO
ZIP 80526
Phone: (970) 229-4600
Fax: (970) 229-4699

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 06D2061176
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 06-23-2027

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 Fort Collins, Colorado operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1730526096 assigned on May 2013. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is Shiva Birdi (Ceo)

NPI
1730526096
Provider Name
BANNER HEALTH PHYSICIANS COLORADO LLC
Entity Type
Organization
Location Address
702A W DRAKE RD FORT COLLINS, CO 80526
Location Phone
(970) 229-4600
Location Fax
(970) 229-4699
Mailing Address
2901 N CENTRAL AVE STE 160 PHOENIX, AZ 85012
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-28-2013
Last Update Date
04-17-2026
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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

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
06D2061176
Facility Type
Federally Qualified Health Center
Certificate Effective Date
June 24, 2025
Certificate Expiration Date
June 23, 2027
Laboratory Director
DR. GRANT M. TAYLOR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Banner Health Physicians Colorado 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 1730526096, 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 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
7
Unchanged
Pos 3
3
Doubled → 6
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
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 3 → 6 5 → 10 → 1 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 6 + 0 + 1 + 0 + 2 + 1 + 2 + 0 + 1 + 8 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1730526096.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Internal Medicine
702A W DRAKE RD
FORT COLLINS, CO 80526
Clinic/Center (Primary Care)
702A W DRAKE RD
FORT COLLINS, CO 80526
Family Medicine
702A W DRAKE RD
FORT COLLINS, CO 80526
Physician Assistant (Surgical)
702A W DRAKE RD
FORT COLLINS, CO 80526
Dietitian, Registered
702A W DRAKE RD
FORT COLLINS, CO 80526
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
702A W DRAKE RD
FORT COLLINS, CO 80526
Physician Assistant
702A W DRAKE RD
FORT COLLINS, CO 80526

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730526096, enumerated as an "organization" on May 28, 2013.

The provider is located at 702A W DRAKE RD FORT COLLINS, CO 80526 and the phone number is (970) 229-4600.

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