Active NPI
Travis Peveto, MD
- Family Medicine Physician
- Fort Collins, CO
National Provider Identifier
1780038802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR0058804
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201116001534 | WY | Order and Referring Only - 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.