Organization Active NPI

Centers for Gastroenterology

  • Gastroenterology Physician
  • Fort Collins, CO
National Provider Identifier
1801994157
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
CENTERS FOR GASTROENTEROLOGY
Practice address
3702 S Timberline Rd
Fort Collins, CO 80525-3624
Phone
(970) 207-9773
Fax
(970) 207-1893
NPI assigned
Sep 20, 2006
Last updated
Sep 11, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTERS FOR GASTROENTEROLOGYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Billie Beddoe
Title
Credentialing Coordinator
Phone
(970) 212-0879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

3702 S Timberline Rd
Fort Collins, CO 80525-3624

Mailing address

3702 S Timberline Rd
Fort Collins, CO 80525-3624
Phone (970) 207-9773

Other practice location 1

8225 W 20th St
Greeley, CO 80634-3037
Phone (970) 378-1414

Other practice location 2

555 Prospect Ave Ste F
Estes Park, CO 80517-6312
Phone (970) 669-5432

Other practice location 3

2555 E 13th St Ste 220
Loveland, CO 80537-5136
Phone (970) 669-5432

Other practice location 4

940 Central Park Dr Ste 100
Steamboat Springs, CO 80487-8853
Phone (970) 879-3327

Other practice location 5

7251 W 20th St Unit K
Greeley, CO 80634-4626
Phone (970) 378-1414

Other identifiers 2

IdentifierTypeStateIssuer
04006219MedicaidCO
CS9815OtherCOMEDICARE RAILROAD PIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040316000132 CO Part B Supplier - Clinic/Group Practice 9537059555 Receives reassigned benefits from 70 practitioners
1 other NPI on this enrollment
Practice locations: Fort Collins, CO; Greeley, CO; Loveland, CO; Steamboat Springs, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D1058006Centers for Gastroenterology3702 Timberline Rd, Ste a, Fort Collins, CO 80525AccreditationSep 9, 2026

National Provider Directory

National Provider Directory
Part of
Consultants in Gastroin

Locations

3702 S Timberline Rd
Fort Collins, CO 80525
Phone (970) 207-9773

7251 W 20th St
Unit J
Greeley, CO 80634
Phone (970) 378-1414

7251 W 20th St
Unit K
Greeley, CO 80634
Phone (970) 353-4322

2555 E 13th St
Ste 220
Loveland, CO 80537
Phone (970) 669-5432

2725 Rocky Mountain Ave
Loveland, CO 80538

2725 Rocky Mountain Ave
Ste 120
Loveland, CO 80538
Phone (970) 669-5432

Practitioners & affiliated clinicians

Practitioners 83

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 83

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1801994157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 S TIMBERLINE RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253624",
            "telephone_number": "970-207-9773",
            "fax_number": "970-207-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 S TIMBERLINE RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253624",
            "telephone_number": "970-207-9773",
            "fax_number": "970-207-1893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8225 W 20th St",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806343037",
            "country_code": "US",
            "telephone_number": "970-378-1414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 Prospect Ave Ste F",
            "address_purpose": "LOCATION",
            "city": "Estes Park",
            "state": "CO",
            "postal_code": "805176312",
            "country_code": "US",
            "telephone_number": "970-669-5432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2555 E 13th St Ste 220",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805375136",
            "country_code": "US",
            "telephone_number": "970-669-5432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "940 Central Park Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Steamboat Springs",
            "state": "CO",
            "postal_code": "804878853",
            "country_code": "US",
            "telephone_number": "970-879-3327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7251 W 20th St Unit K",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806344626",
            "country_code": "US",
            "telephone_number": "970-378-1414",
            "fax_number": "970-378-1515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTERS FOR GASTROENTEROLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTERS FOR GASTROENTEROLOGY",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "BEDDOE",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "970-212-0879"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04006219",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "CS9815",
            "state": "CO"
        }
    ],
    "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 Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.