Individual provider Active NPI

Robert Rayson, MD

  • Cardiovascular Disease Physician
  • Fort Collins, CO
National Provider Identifier
1447519905
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
DR.0064012 Issued in CO
Practice address
2121 E Harmony Rd Unit 100
Fort Collins, CO 80528-3401
Phone
(970) 221-1000
Fax
(970) 297-6886
NPI assigned
May 3, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2015-00600 NC
Interventional Cardiology Physician 207RI0011X DR.0064012 CO
Student in an Organized Health Care Education/Training Program 390200000X 182456 NC
Cardiovascular Disease Physician 207RC0000X DR.0064012 CO Primary

Addresses

Primary practice location

2121 E Harmony Rd Unit 100
Fort Collins, CO 80528-3401

Mailing address

Acc Clinic CB 7705
102 Mason Farm Rd
Chapel Hill, NC 27599-0001
Phone (919) 966-1459

Other practice location 1

Acc Clinic Cb 7705
102 Mason Farm Rd
Chapel Hill, NC 27599-0001
Phone (919) 966-1459

Medicare participation

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

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200708001166 CO Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9739301680 Reassigns benefits to 1 organization
I20200709001007 NE Practitioner - Cardiovascular Disease (Cardiology) 9739301680 Reassigns benefits to 1 organization
I20200713000867 WY Practitioner - Cardiovascular Disease (Cardiology) 9739301680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Georgetown 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)

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

  • Poudre Valley Hospital Hospital, Fort Collins, CO, CCN 060010
  • Medical Center of the Rockies Hospital, Loveland, CO, CCN 060119
  • Uchealth Greeley Hospital Hospital, Greeley, CO, CCN 060131
  • Ivinson Memorial Hospital Hospital, Laramie, WY, CCN 530025
  • Longs Peak Hospital Hospital, Longmont, CO, CCN 060128

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting27
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015-00600NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Aug 31, 2020 Accepting new patients
Poudre Valley Medical Group, LLC Cardiovascular Disease Past Accepting new patients

Locations

2750 Broadway St
Ste 2170
Boulder, CO 80304
Phone (303) 440-3057

2750 Broadway St
Boulder, CO 80304
Phone (303) 440-3000

2750 Broadway St
Ste 2178
Boulder, CO 80304
Phone (303) 440-3057

11820 Destination Dr
Broomfield, CO 80021
Phone (303) 460-6000

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

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

6767 29th St
#3
Greeley, CO 80634

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

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

620 Iris Dr
Sterling, CO 80751
Phone (970) 313-2740

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

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

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": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1447519905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ACC CLINIC CB 7705",
            "address_2": "102 MASON FARM RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001",
            "telephone_number": "919-966-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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": "970-297-6886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Acc Clinic Cb 7705",
            "address_2": "102 Mason Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275990001",
            "country_code": "US",
            "telephone_number": "919-966-1459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYSON",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-03",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2015-00600",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CO",
            "license": "DR.0064012",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "182456",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "DR.0064012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.