Individual provider Active NPI

Travis Peveto, MD

  • Family Medicine Physician
  • Fort Collins, CO
National Provider Identifier
1780038802
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR0058804 Issued in CO
Practice address
2509 Research Blvd
Fort Collins, CO 80526-8108
Phone
(970) 224-1550
NPI assigned
Apr 14, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR0058804 CO Primary

Addresses

Primary practice location

2509 Research Blvd
Fort Collins, CO 80526-8108

Mailing address

2509 Research Blvd
Fort Collins, CO 80526-8108
Phone (970) 224-1550

Other practice location 1

13001 E. 17th Place
University of Colorado School of Medicine GME
Aurora, CO 80045-2581
Phone (303) 788-3151

Other practice location 2

13001 E. 17th Place
University of Colorado School of Medicine GME
Aurora, CO 80045-2581
Phone (303) 788-3151

Other practice location 3

750 Hospital Loop
Craig, CO 81625
Phone (970) 824-9411

Other practice location 4

2360 E Pershing Blvd
Cheyenne, WY 82001-5356
Phone (307) 778-7550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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

Enrollment IDStateProvider typePAC IDDetails
I20201116001534 WY Order and Referring Only - Family PracticePractitioner - Family Practice 6507151859

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1780038802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 RESEARCH BLVD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805268108",
            "telephone_number": "970-224-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 RESEARCH BLVD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805268108",
            "telephone_number": "970-224-1550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13001 E. 17th Place",
            "address_2": "University of Colorado School of Medicine GME",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452581",
            "country_code": "US",
            "telephone_number": "303-788-3151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13001 E. 17th Place",
            "address_2": "University of Colorado School of Medicine GME",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452581",
            "country_code": "US",
            "telephone_number": "303-788-3151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Hospital Loop",
            "address_purpose": "LOCATION",
            "city": "Craig",
            "state": "CO",
            "postal_code": "81625",
            "country_code": "US",
            "telephone_number": "970-824-9411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2360 E Pershing Blvd",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820015356",
            "country_code": "US",
            "telephone_number": "307-778-7550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEVETO",
        "first_name": "TRAVIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-14",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR0058804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.