John B Ebens, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

30926 Issued in CO

Practice address

1900 16TH St
Greeley, CO 80631-5114

Phone

(970) 350-2438

Fax

(970) 350-2473

NPI assigned

Dec 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

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 1

Specialty

Internal Medicine

Education

University of Washington School of Medicine, 1989

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, 2,425 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accentcare Home Health of Mountain Valley LLC Home health agency, Denver, CO, CCN 067445
• Bayada Home Health Care Inc Home health agency, Loveland, CO, CCN 067506
• Banner Home Care Colorado Home health agency, Greeley, CO, CCN 067147
• At Home Healthcare Home health agency, Denver, CO, CCN 067255
• Optimal Home Care Loveland Home health agency, Loveland, CO, CCN 067546
• Uchealth Greeley Hospital Hospital, Greeley, CO, CCN 060131
• Medical Center of the Rockies Hospital, Loveland, CO, CCN 060119
• Poudre Valley Hospital Hospital, Fort Collins, CO, CCN 060010
• Banner North Colorado Medical Center Hospital, Greeley, CO, CCN 060001
• Longs Peak Hospital Hospital, Longmont, CO, CCN 060128

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Poudre Valley Medical Group, LLC

  • General Practice Physician
  • Loveland, CO
  • NPI 1225356868
  Medicare reassignment Care Compare group NPD
• Poudre Valley Medical Group, LLC

  • General Practice Physician
  • Loveland, CO
  • NPI 1366763260
  NPD
• Banner Greeley Specialists

  • Multi-Specialty Clinic/Center
  • Greeley, CO
  • NPI 1558595611
  NPD (past)

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

• Accentcare Home Health of Mountain Valley, LLC

  • Home Health Agency
  • Denver, CO
  • NPI 1205126349
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Loveland, CO
  • NPI 1780961508
  Care Compare affiliation
• GSD Initiative LLC

  • Home Health Agency
  • Loveland, CO
  • NPI 1912384413
  Care Compare affiliation
• LHCG Lvii, LLC

  • Home Health Agency
  • Denver, CO
  • NPI 1730595307
  Care Compare affiliation
• Longs Peak Hospital

  • General Acute Care Hospital
  • Longmont, CO
  • NPI 1154876985
  Care Compare affiliation
• Medical Center of the Rockies

  • General Acute Care Hospital
  • Greeley, CO
  • NPI 1104262286
  Care Compare affiliation
• Medical Center of the Rockies

  • General Acute Care Hospital
  • Loveland, CO
  • NPI 1750392304
  Care Compare affiliation
• Medical Center of the Rockies

  • General Acute Care Hospital
  • Greeley, CO
  • NPI 1780243055
  Care Compare affiliation
• North Colorado Medical Center

  • General Acute Care Hospital
  • Loveland, CO
  • NPI 1174231682
  Care Compare affiliation
• North Colorado Medical Center

  • Critical Access Hospital
  • Greeley, CO
  • NPI 1255971404
  Care Compare affiliation
• North Colorado Medical Center

  • Ambulance
  • Greeley, CO
  • NPI 1457850430

  Hospital

  Care Compare affiliation
• North Colorado Medical Center

  • General Acute Care Hospital
  • Greeley, CO
  • NPI 1477376986
  Care Compare affiliation

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1649257544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315114",
            "telephone_number": "970-350-2438",
            "fax_number": "970-350-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315114",
            "telephone_number": "970-350-2438",
            "fax_number": "970-350-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBENS",
        "first_name": "JOHN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "30926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01309269",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER PTAN",
            "identifier": "P00944722",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Dean Eastes, M.D.
• Susan M. Eastin, M.A.
• Nicole Jennifer Eaton
• Krystal Ebbinghaus
• Ariadne Vogel Ebel, D.O,
• Bradley W Eckhardt, DDS
• Terry Allen Eckles, DDS
• Brandy Skyler Eckley
• Bennett Edgerly, PH.D., LPC
• Dominique Edgerly, LCSW

• Internal Medicine Physician in Greeley, CO
• Providers in Greeley, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.