Individual provider Active NPI

Matthew T Purvis, M.D.

  • Cardiovascular Disease Physician
  • Fort Collins, CO
National Provider Identifier
1609931005
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
45388 Issued in CO
Practice address
2121 E Harmony Rd
Ste 100
Fort Collins, CO 80528-3400
Phone
(970) 221-1000
Fax
(970) 297-6844
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X DR.0045388 CO
Interventional Cardiology Physician 207RI0011X 24731 NE
Cardiovascular Disease Physician 207RC0000X 45388 CO Primary

Addresses

Primary practice location

2121 E Harmony Rd
Ste 100
Fort Collins, CO 80528-3400

Mailing address

2121 E Harmony Rd
Ste 100
Fort Collins, CO 80528-3400
Phone (970) 221-1000

Other identifiers 5

IdentifierTypeStateIssuer
62582747MedicaidCO
124172900MedicaidWY
P00970455OtherCOMEDICARE RAILROAD
3810024586MedicaidWV
P00977665OtherNEMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NE2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20070410000680 CO Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8325143985 Reassigns benefits to 2 organizations
I20080728000102 NE Practitioner - Cardiovascular Disease (Cardiology) 8325143985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Georgetown University School of Medicine, 2000
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)

1024 S Lemay Ave
Fort Collins, CO 80524-3929

11083 Colorado Blvd
Firestone, CO 80504-5873
Phone (303) 833-8880

1750 E Ken Pratt Blvd
Uchealth
Longmont, CO 80504-5311
Phone (970) 237-7848

1760 E Ken Pratt Blvd
Longmont, CO 80504-5311

1925 Mountain View Ave
Longmont, CO 80501-3128
Phone (303) 776-1234

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

2121 E Harmony Rd
Fort Collins, CO 80528-3401

2500 Rocky Mountain Ave
Loveland, CO 80538-9004

2750 Broadway St
Suite 2170
Boulder, CO 80304-3573
Phone (303) 440-3169

2970 Arapahoe Rd
Lafayette, CO 80026-8054
Phone (303) 460-6010

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

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

529 Main St
Suite 102
Fort Morgan, CO 80701-2131
Phone (970) 867-7000

555 Prospect Ave
Estes Park, CO 80517-6312
Phone (970) 577-4478

620 Iris Dr
Sterling, CO 80751-4716
Phone (970) 522-7266

6767 29TH St
Greeley, CO 80634-5474
Phone (970) 224-3636

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
  • Longs Peak Hospital Hospital, Longmont, CO, CCN 060128
  • St Elizabeth Hospital Hospital, Fort Morgan, CO, CCN 060044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45388COMDCardiovascular Disease Physician
24731NEMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Jul 21, 2010 Accepting new patients
Poudre Valley Health Care Inc CurrentSince Jul 16, 2007 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jun 1, 2010 Accepting new patients
Poudre Valley Health Care Inc. Current Accepting new patients
Poudre Valley Medical Group, LLC Cardiovascular Disease Past Accepting new patients
Inpatient Management Medical Group Inc Past Accepting new patients
Medical Center of the Rockies Past Accepting new patients
Regional West Physicians Clinic Past Accepting new patients
Regional West Physicians Clinic Past Accepting new patients

Locations (25 of 30)

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

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

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

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

4601 Corbett Dr
Fort Collins, CO 80528
Phone (970) 207-4800

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

2315 E Harmony Rd
Ste 200
Fort Collins, CO 80528

1024 S Lemay Ave
#F1051
Fort Collins, CO 80524

2809 E Harmony Rd
Ste 200
Fort Collins, CO 80528
Phone (970) 297-6250

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

1025 Pennock Pl
Fort Collins, CO 80524
Phone (970) 495-8800

529 Main St
Ste 102
Fort Morgan, CO 80701
Phone (970) 392-6980

1000 Lincoln St
Ste 207
Fort Morgan, CO 80701
Phone (970) 542-4371

1900 16th St
Greeley, CO 80631
Phone (970) 350-2438

6767 29th St
Greeley, CO 80634
Phone (970) 652-2000

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

1760 E Ken Pratt Blvd
Ste 405
Longmont, CO 80504
Phone (720) 718-5400

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

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

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

Organizations & group practices 9

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1609931005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD",
            "address_2": "STE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283400",
            "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 RD",
            "address_2": "STE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283400",
            "telephone_number": "970-221-1000",
            "fax_number": "970-297-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURVIS",
        "first_name": "MATTHEW",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CO",
            "license": "DR.0045388",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NE",
            "license": "24731",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "45388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62582747",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124172900",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00970455",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810024586",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00977665",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.