Active NPI
North Colorado Family Medicine
- Primary Care Clinic/Center
- Greeley, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- NORTH COLORADO FAMILY MEDICINE
- Practice address
- 1600 23Rd Ave
Greeley, CO 80634-6070 - Phone
- (602) 747-4000
- NPI assigned
- Jun 30, 2006
- Last updated
- Oct 28, 2024
- Organization subpart
- Yes
- Parent organization
- BANNER HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shiva Birdi
- Title
- Ceo
- Phone
- (602) 747-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
1600 23Rd Ave
Greeley, CO 80634-6070
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04021291 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D0667375 | North Colorado Family Medicine | Provider-performed microscopy | May 10, 2028 |
National Provider Directory
National Provider Directory- Part of
- Big Horn Family Med
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Banner Hospice of Northern Colorado
- Community Based Hospice Care Agency
- Greeley, CO
- NPI 1407409964
Member Of
Practitioners & affiliated clinicians
Practitioners 43
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Greeley, CO
- NPI 1952931123
-
- Family Medicine Physician
- Fort Collins, CO
- NPI 1053630913
-
- Family Medicine Physician
- Greeley, CO
- NPI 1588044093
-
- Family Medicine Physician
- Brush, CO
- NPI 1710507892
-
- Family Medicine Physician
- Greeley, CO
- NPI 1992781892
-
- Family Medicine Physician
- Greeley, CO
- NPI 1811986169
-
- Family Nurse Practitioner
- Greeley, CO
- NPI 1366188096
-
- Family Medicine Physician
- Greeley, CO
- NPI 1952390114
-
- Family Medicine Physician
- Greeley, CO
- NPI 1740716372
-
- Family Medicine Physician
- Greeley, CO
- NPI 1316513039
-
- Family Medicine Physician
- Greeley, CO
- NPI 1316383136
-
- Family Medicine Physician
- Greeley, CO
- NPI 1962491969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730073600000",
"number": "1083642680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 N CENTRAL AVE STE 160",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 23RD AVE",
"city": "GREELEY",
"state": "CO",
"postal_code": "806346070",
"telephone_number": "602-747-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH COLORADO FAMILY MEDICINE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BANNER HEALTH",
"enumeration_date": "2006-06-30",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A",
"authorized_official_last_name": "BIRDI",
"authorized_official_first_name": "SHIVA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "602-747-4000"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04021291",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greeley, CO
- Kenneth Eugene Norem, PH.D
- North Colorado Anesthesia Associates PC
- North Colorado Cardiology, PC
- North Colorado Ear Nose & Throat
- North Colorado Emergency Physicians, PC
- North Colorado Medical Center
- North Colorado Medical Center
- North Colorado Medical Center
- North Colorado Medical Center
- North Colorado Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.