NPIMap

Individual provider Active NPI

Ross Sheline, M.D.

  • Family Medicine Physician
  • Fort Collins, CO
National Provider Identifier
1053761957
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
60652 Issued in CO
Practice address
4601 S Mason St
Fort Collins, CO 80525-3740
Phone
(970) 266-3600
Fax
(970) 266-3629
NPI assigned
Jun 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 60652 CO Primary

Addresses

Primary practice location

4601 S Mason St
Fort Collins, CO 80525-3740

Mailing address

4601 S Mason St
Fort Collins, CO 80525-3740
Phone (970) 266-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190824000161 CO Practitioner - Family Practice 0446545388 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

4601 S Mason St
Fort Collins, CO 80525-3740
Phone (970) 266-3600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60652COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Colorado, Inc Family Medicine CurrentSince Aug 5, 2019 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jul 7, 2025 Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

3519 Richmond Dr
Fort Collins, CO 80526
Phone (970) 204-0300

3519 Richmond Dr
Bldg I
Fort Collins, CO 80526

1300 Riverside Ave
Ste 102
Fort Collins, CO 80524
Phone (970) 224-1670

4601 S Mason St
Fort Collins, CO 80525
Phone (970) 266-3600

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1053761957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 S MASON ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253740",
            "telephone_number": "970-266-3600",
            "fax_number": "970-266-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 S MASON ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253740",
            "telephone_number": "970-266-3600",
            "fax_number": "970-266-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELINE",
        "first_name": "ROSS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "60652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.