NPIMap

Individual provider Active NPI

Luis Gabriel Chavez, PA-C

  • Physician Assistant
  • Loveland, CO
National Provider Identifier
1083304083
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0008966 Issued in CO
Practice address
2500 Rocky Mountain Ave Ste 2300
Loveland, CO 80538-9004
Phone
(970) 495-7421
Fax
(970) 203-7179
NPI assigned
May 11, 2023
Last updated
Jan 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0008966 CO Primary

Addresses

Primary practice location

2500 Rocky Mountain Ave Ste 2300
Loveland, CO 80538-9004

Mailing address

2500 Rocky Mountain Ave Ste 2300
Loveland, CO 80538-9004
Phone (970) 495-7421

Other practice location 1

8401 S Chambers Rd
Greenwood Village, CO 80112-3276
Phone (303) 373-2008

Other practice location 2

2121 E Harmony Rd Unit 160
Fort Collins, CO 80528-3413
Phone (970) 482-3328

Other practice location 3

6767 29th St
Greeley, CO 80634-5474
Phone (970) 495-7421

Other practice location 4

1107 S LeMay Ave Ste 240
Fort Collins, CO 80524-3959
Phone (970) 495-7421

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
I20250214002158 CO Practitioner - Physician Assistant 4587194881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
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
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians

Practice addresses (Care Compare)

1024 S Lemay Ave
Fort Collins, CO 80524-3929

2500 Rocky Mountain Ave
Loveland, CO 80538-9004

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

4617 W 20TH St
Unit a Select PT
Greeley, CO 80634-3207
Phone (970) 352-9022

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Mar 7, 2025 Accepting new patients

Locations

1107 S Lemay Ave
Ste 240
Fort Collins, CO 80524
Phone (970) 495-7420

2121 E Harmony Rd
Unit 160
Fort Collins, CO 80528
Phone (970) 482-3328

6767 29th St
Greeley, CO 80634
Phone (970) 652-2000

6767 29th St
Fl 3
Greeley, CO 80634
Phone (970) 652-2801

2500 Rocky Mountain Ave
Ste 2300
Loveland, CO 80538
Phone (970) 203-7150

2500 Rocky Mountain Ave
Ste 340
Loveland, CO 80538
Phone (970) 495-7421

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

Organizations & group practices 2

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

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": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1083304083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ROCKY MOUNTAIN AVE STE 2300",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389004",
            "telephone_number": "970-495-7421",
            "fax_number": "970-203-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ROCKY MOUNTAIN AVE STE 2300",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389004",
            "telephone_number": "970-495-7421",
            "fax_number": "970-203-7179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8401 S Chambers Rd",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801123276",
            "country_code": "US",
            "telephone_number": "303-373-2008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 E Harmony Rd Unit 160",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805283413",
            "country_code": "US",
            "telephone_number": "970-482-3328",
            "fax_number": "970-482-1433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6767 29th St",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806345474",
            "country_code": "US",
            "telephone_number": "970-495-7421",
            "fax_number": "970-203-7179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1107 S LeMay Ave Ste 240",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805243959",
            "country_code": "US",
            "telephone_number": "970-495-7421",
            "fax_number": "970-495-7424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "LUIS",
        "middle_name": "GABRIEL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-11",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.