Individual provider Active NPI

Mariah Norby, D.O.

  • Obstetrics & Gynecology Physician
  • Travis Afb, CA
National Provider Identifier
1760917280
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0063220 Issued in CO
Practice address
101 Bodin Cir
Travis Afb, CA 94535-1809
Phone
(707) 423-3000
NPI assigned
Apr 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 0063220 CO Primary

Addresses

Primary practice location

101 Bodin Cir
Travis Afb, CA 94535-1809

Mailing address

101 Bodin Cir
Travis Afb, CA 94535-1809
Phone (707) 423-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO2 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
I20221206002757 CA Practitioner - Obstetrics/Gynecology 3072882067 Reassigns benefits to 1 organization
I20250313000413 CO Practitioner - Obstetrics/Gynecology 3072882067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rocky Vista University College of Osteopathic Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obstetrix Medical Group of Colorado P CGroup PAC ID 6709776651, 32 clinicians

Practice addresses (Care Compare)

1719 E 19TH Ave
Denver, CO 80218-1235
Phone (800) 243-3839

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrix Medical Group of Colorado P C Single Specialty CurrentSince Mar 1, 2025 Accepting new patients
Northbay Healthcare Group Single Specialty CurrentSince Aug 20, 2024 Accepting new patients
Northbay Healthcare Group Single Specialty Current Accepting new patients
Northbay Physicians Surgery Center LLC Past Accepting new patients
HCA Healthone LLC Past Accepting new patients

Locations

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

4500 Business Center Dr
Fairfield, CA 94534
Phone (707) 646-4777

101 Bodin Cir
Travis AFB, CA 94535
Phone (707) 423-3000

101 Bodin Cir
#60
Travis AFB, CA 94535
Phone (707) 423-5174

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

1719 E 19th Ave
Denver, CO 80218
Phone (303) 839-6000

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009

Interoperability endpoints

  • Direct secure messaging: mnorby682248@hisp.ehr.sutterhealth.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/UMZ-Uxn6V9x08sH5gCnG-5yPg9ZX7et6/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1760917280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "707-423-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "707-423-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORBY",
        "first_name": "MARIAH",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-21",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "0063220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Travis Afb, CA

Sources for this page

Verify at the official NPI Registry.