Active NPI
Barbara Widom, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Fort Collins, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 32251
- Practice address
- 1106 E Prospect Rd
Suite 100
Fort Collins, CO 80525-5306 - Phone
- (970) 224-3636
- Fax
- (970) 224-3637
- NPI assigned
- Aug 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 32251 | CO | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 32251 | CO | Primary |
Addresses
Primary practice location
1106 E Prospect Rd
Suite 100
Fort Collins, CO 80525-5306
Mailing address
1106 E Prospect Rd
Suite 100
Fort Collins, CO 80525-5304
Phone (970) 224-3636
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01322510 | Medicaid | CO | |
| P00970408 | Other | CO | RAILROAD MEDICARE |
| P00431825 | Other | CO | RAILROAD MEDICARE |
Other names 1
- Barbara Wilson
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Columbia University College of Physicians and Surgeons, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1925 Mountain View Ave
Longmont, CO 80501-3128
Phone (303) 776-1234
2121 E Harmony Rd
Fort Collins, CO 80528-3401
4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260
6767 29TH St
Greeley, CO 80634-5474
Phone (970) 224-3636
Hospital & facility affiliations
- Poudre Valley Hospital
- Medical Center of the Rockies
- Ivinson Memorial Hospital
- Uchealth Greeley Hospital
- Parkview Medical Center, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32251 | CO | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Northern Colorado Pulmonary Consutlants, PC | Past | 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
1040 E Elizabeth St
Unit B
Fort Collins, CO 80524
Phone (970) 224-3636
1106 E Prospect Rd
Ste 100
Fort Collins, CO 80525
Phone (970) 224-3636
2121 E Harmony Rd
Unit 230
Fort Collins, CO 80528
Phone (970) 266-8822
2121 E Harmony Rd
Unit 300
Fort Collins, CO 80528
Phone (970) 224-0429
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412
221 E 29th St
Ste 102
Loveland, CO 80538
Phone (970) 224-3636
2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425
2500 Rocky Mountain Ave
Ste 330
Loveland, CO 80538
Phone (970) 203-7110
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.
-
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
- General Practice Physician
- Loveland, CO
- NPI 1366763260
-
- Pulmonary Disease Physician
- Fort Collins, CO
- NPI 1922078989
Hospital & facility affiliations 27
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1104262286
-
- General Acute Care Hospital
- Loveland, CO
- NPI 1750392304
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1780243055
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1184263527
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1376183145
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1417596834
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1427689652
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1104881507
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1134751712
-
- General Acute Care Hospital
- Pueblo West, CO
- NPI 1821720681
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1679419808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422230400000",
"number": "1669480810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 E PROSPECT RD",
"address_2": "SUITE 100",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255304",
"telephone_number": "970-224-3636",
"fax_number": "970-224-3637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 E PROSPECT RD",
"address_2": "SUITE 100",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255306",
"telephone_number": "970-224-3636",
"fax_number": "970-224-3637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIDOM",
"first_name": "BARBARA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2015-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "32251",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CO",
"license": "32251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01322510",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00970408",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00431825",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BARBARA",
"last_name": "WILSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.