NPIMap

Individual provider Active NPI

David C Peritz, MD

  • Cardiovascular Disease Physician
  • Fort Collins, CO
National Provider Identifier
1326306804
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
DR.0069135 Issued in CO
Practice address
2121 E Harmony Road Ste 100
Fort Collins, CO 80528
Phone
(970) 221-1000
Fax
(970) 297-6844
NPI assigned
May 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 19971 NH
Cardiovascular Disease Physician 207RC0000X DR.0069135 CO Primary

Addresses

Primary practice location

2121 E Harmony Road Ste 100
Fort Collins, CO 80528

Mailing address

2121 E Harmony Rd Unit 100
Fort Collins, CO 80528-3401
Phone (970) 221-1000

Other practice location 1

One Medical Center Drive
Cardiology
Lebanon, NH 03756-0001
Phone (603) 650-5724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NE, WY3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220916002080 CO Practitioner - Cardiovascular Disease (Cardiology) 5597980870 Reassigns benefits to 1 organization
I20230323002105 NE Practitioner - Cardiovascular Disease (Cardiology) 5597980870 Reassigns benefits to 1 organization
I20230328001413 WY Practitioner - Cardiovascular Disease (Cardiology) 5597980870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Tufts University School of Medicine, 2012
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, shared by 2 NPIs, 2,425 clinicians

Practice addresses (Care Compare)

2101 Box Butte Ave
Alliance, NE 69301-4445
Phone (800) 459-4241

2121 E Harmony Rd
Unit 100 Uchmg Cardiology Fort Collins
Fort Collins, CO 80528-3401
Phone (970) 221-1000

3116 Willett Dr
Laramie, WY 82072-5048
Phone (307) 742-9411

3911 Ave B
Scottsbluff, NE 69361-4617
Phone (970) 482-3328

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Sep 6, 2022 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Sep 6, 2022 Accepting new patients
Brattleboro Memorial Hospital Internal Medicine PastSince Aug 1, 2016 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

1107 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 493-7442

2121 E Harmony Rd
Unit 100
Fort Collins, CO 80528
Phone (970) 663-3107

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

1760 E Ken Pratt Blvd
Ste 205
Longmont, CO 80504
Phone (720) 718-3930

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

2500 Rocky Mountain Ave
Ste 100
Loveland, CO 80538
Phone (970) 624-1800

1100 Central Park Dr
Ste 1050
Steamboat Springs, CO 80487
Phone (970) 870-1035

1000 W 8th Ave
Yuma, CO 80759
Phone (970) 345-6336

2101 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-6660

3911 Avenue B
Scottsbluff, NE 69361
Phone (308) 630-2100

3116 Willett Dr
Laramie, WY 82072
Phone (307) 742-6319

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/
  • Direct secure messaging: dperitz372936@direct.dartmouth-hitchcock.org

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1326306804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD UNIT 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283401",
            "telephone_number": "970-221-1000",
            "fax_number": "970-297-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY ROAD STE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80528",
            "telephone_number": "970-221-1000",
            "fax_number": "970-297-6844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "One Medical Center Drive",
            "address_2": "Cardiology",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037560001",
            "country_code": "US",
            "telephone_number": "603-650-5724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERITZ",
        "first_name": "DAVID",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-02",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NH",
            "license": "19971",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "DR.0069135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.