NPIMap

Individual provider Active NPI

Lori Ann Hollos, M.D.

  • Family Medicine Physician
  • Loveland, CO
National Provider Identifier
1326083999
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
43110 Issued in CO
Practice address
2923 Ginnala Dr
Loveland, CO 80538-2702
Phone
(970) 820-5000
Fax
(970) 820-5061
NPI assigned
Jun 18, 2006
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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 43110 CO Primary

Addresses

Primary practice location

2923 Ginnala Dr
Loveland, CO 80538-2702

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Phone (970) 820-5000

Other identifiers 2

IdentifierTypeStateIssuer
72303743MedicaidCO
HO43110OtherCOBCBS

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
I20061024000232 CO Practitioner - Family Practice 9335146927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4121

2923 Ginnala Dr
Loveland, CO 80538-2702
Phone (970) 820-5000

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
43110COMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians Colorado LLC CurrentSince Aug 1, 2012 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Aug 1, 2012 Accepting new patients
Nephrology Clinic PC Past Accepting new patients
Big Thompson Medical Group Inc Family Medicine Past Accepting new patients
Banner Health Physicians Colorado LLC Past Accepting new patients

Locations

2901 N Central Ave
Ste 160
Phoenix, AZ 85012
Phone (602) 747-8226

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

2701 Madison Square Dr
Loveland, CO 80538
Phone (970) 663-0722

2923 Ginnala Dr
Loveland, CO 80538
Phone (970) 669-6660

Organizations & group practices 5

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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1326083999",
    "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",
            "telephone_number": "970-820-5000",
            "fax_number": "970-820-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 GINNALA DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382702",
            "telephone_number": "970-820-5000",
            "fax_number": "970-820-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOS",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "43110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72303743",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HO43110",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.