Organization Active NPI

Hayli Karbowski, MD, PLLC

  • Primary Care Clinic/Center
  • Fort Morgan, CO
National Provider Identifier
1396319034
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HAYLI KARBOWSKI, MD, PLLC
Practice address
423 Main St Ste 100
Fort Morgan, CO 80701-2154
Phone
(970) 652-5409
NPI assigned
May 17, 2021
Last updated
May 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Authorized official

Name
Hayli Ann Karbowski, MD
Title
Owner/President
Phone
(970) 652-5409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

423 Main St Ste 100
Fort Morgan, CO 80701-2154

Mailing address

411 W Platte Avenue
Suite a #271
Fort Morgan, CO 80701
Phone (970) 652-5409

Other names 1

  • Catalyst Primary Care Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210609000690 CO Part B Supplier - Clinic/Group Practice 3577963842 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Morgan, CO

National Provider Directory

National Provider Directory

Locations

411 W Platte Ave
Ste A
Fort Morgan, CO 80701
Phone (970) 235-0926

423 Main St
Ste 100
Fort Morgan, CO 80701
Phone (970) 652-5409

423 Main St
Ste 200
Fort Morgan, CO 80701
Phone (970) 427-0177

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1396319034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W PLATTE AVENUE",
            "address_2": "SUITE A #271",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "80701",
            "telephone_number": "970-652-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 MAIN ST STE 100",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807012154",
            "telephone_number": "970-652-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYLI KARBOWSKI, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "KARBOWSKI",
        "authorized_official_first_name": "HAYLI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "970-652-5409",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catalyst Primary Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Morgan, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.