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

Active since May 28, 2013CLIA 06D2061176 · Waiver
702A W DRAKE RD, FORT COLLINS, CO 80526(970) 229-4600(970) 229-4699 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 17, 2026, Mar 8, 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 1730526096) is a healthcare organization registered as a multi-specialty in Fort Collins, Colorado and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through June 23, 2027 and lists Shiva Birdi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730526096
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER HEALTH PHYSICIANS COLORADO LLC
Location Address702A W DRAKE RDFort Collins, CO 80526-5521
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Fax(970) 229-4699
Organization SubpartYesParent: Banner Medical Group Colorado
Authorized OfficialShiva BirdiCeo · (602) 747-4000
Enumeration DateMay 28, 2013
Last NPPES UpdateApril 17, 20262 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
✔ NPI 1730526096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
702A W DRAKE RD, Fort Collins, CO 80526

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, 1 practice at this address and 46 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
Registered Dietitian or Nutrition Professional
NPI 1598681801
702A W DRAKE RD
Fort Collins, CO 80526
(970) 821-4600
Same address
Orthopedic Surgery
NPI 1255314522
702A W DRAKE RD
Fort Collins, CO 80526
(970) 810-0255
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1811459720
702A W DRAKE RD
Fort Collins, CO 80526
(970) 821-4600
✔ PECOS✔ Accepts Medicare0.1 mi
Registered Dietitian or Nutrition Professional
NPI 1588443568
702A W DRAKE RD
Fort Collins, CO 80526
(970) 821-4600
0.1 mi
Nurse Practitioner
NPI 1144981572
3519 RICHMOND DR
Fort Collins, CO 80526
(970) 204-0300
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1730714056
627 PARKER ST
Fort Collins, CO 80525
(305) 323-7345
✔ PECOS✔ Accepts Medicare1.4 mi
Nurse Practitioner
NPI 1902260862
1029 ROBERTSON ST
Fort Collins, CO 80524
(719) 384-8181
✔ PECOS✔ Accepts Medicare2.0 mi
Nurse Practitioner
NPI 1831901008
1025 PENNOCK PL STE 114
Fort Collins, CO 80524
(970) 495-8800
✔ PECOS✔ Accepts Medicare2.2 mi
Nurse Practitioner
NPI 1053373522
1025 PENNOCK PL FAMILY MEDICINE CENTER
Fort Collins, CO 80524
(970) 495-8800
✔ PECOS✔ Accepts Medicare2.2 mi
Nurse Practitioner
NPI 1821892803
2960 SKIMMERHORN ST
Fort Collins, CO 80526
(720) 838-0071
✔ PECOS✔ Accepts Medicare2.5 mi
Family Practice
NPI 1508027632
2025 BIGHORN RD
Fort Collins, CO 80525
(970) 229-9800
✔ PECOS2.8 mi
Mental Health Counselor
NPI 1871608547
4856 INNOVATION DR
Fort Collins, CO 80525
(970) 494-4200
✔ PECOS✔ Accepts Medicare3.3 mi
Mental Health Counselor
NPI 1417125618
4856 INNOVATION DR
Fort Collins, CO 80525
(970) 494-4200
✔ PECOS✔ Accepts Medicare3.3 mi
Mental Health Counselor
NPI 1831223734
1129 MIRAMONT DR
Fort Collins, CO 80524
(970) 310-3699
✔ PECOS✔ Accepts Medicare4.5 mi
Family Practice
NPI 1417963349
1523 MIRAMONT DR
Fort Collins, CO 80524
(970) 556-8306
✔ PECOS✔ Accepts Medicare4.7 mi
General Surgery
NPI 1609431733
4700 LADY MOON DR STE C1
Fort Collins, CO 80528
(970) 821-4500
✔ PECOS✔ Accepts Medicare4.8 mi
Radiation Oncology
NPI 1639597529
4700 LADY MOON DR
Fort Collins, CO 80528
(970) 810-3894
✔ PECOS✔ Accepts Medicare4.8 mi
General Surgery
NPI 1134565096
4700 LADY MOON DR
Fort Collins, CO 80528
(970) 821-4000
✔ PECOS✔ Accepts Medicare4.8 mi
Anesthesiology
NPI 1043673403
4700 LADY MOON DR
Fort Collins, CO 80528
(970) 420-0905
✔ PECOS✔ Accepts Medicare4.8 mi
Pediatric Medicine
NPI 1508247156
4700 LADY MOON DR
Fort Collins, CO 80528
(917) 821-4000
✔ PECOS4.8 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 06D2061176

Banner Health Physicians Colorado, LLC · Fort Collins, CO
Active · expires Jun 23, 2027
CLIA Number06D2061176
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 24, 2025
Certificate Expiration DateJune 23, 2027
Laboratory DirectorDr. Grant M. Taylor
Laboratory Phone(970) 229-4600
Laboratory LocationBanner Health Physicians Colorado, LLC702-A W Drake Rd, Fort Collins, CO 80526
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 1730526096. It was assigned to this organization in the NPPES registry on May 28, 2013.

Where is Banner Health Physicians Colorado LLC located?

Banner Health Physicians Colorado LLC is located at 702A W Drake Rd, Fort Collins, CO 80526. The listed phone number is (970) 229-4600.

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, 1 practice at this address and 46 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 06D2061176) is associated with this NPI, valid through June 23, 2027. 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 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.