NPIMap

Individual provider Active NPI

Fariborz A Davoodi, MD

  • Family Medicine Physician
  • Fort Collins, CO
National Provider Identifier
1811924343
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H2930 Issued in TX
Practice address
2025 Bighorn Rd
Fort Collins, CO 80525-3480
Phone
(970) 449-0082
Fax
(970) 823-9002
NPI assigned
Jun 28, 2006
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 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 H2930 TX Primary

Addresses

Primary practice location

2025 Bighorn Rd
Fort Collins, CO 80525-3480

Mailing address

2025 Bighorn Rd
Fort Collins, CO 80525-3480
Phone (970) 440-0082

Other identifiers 2

IdentifierTypeStateIssuer
131777805MedicaidTX
131777808MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051014000370 TX Practitioner - Family PracticePractitioner - Sleep Medicine 3072539469 Reassigns benefits to 1 organization
I20251016001215 CO Practitioner - Family Practice 3072539469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Southwestern Medical School at Dallas, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Fort Collins PCP LLCGroup PAC ID 2567960396, 47 clinicians

Practice addresses (Care Compare)

2025 Bighorn Rd
Fort Collins, CO 80525-3480
Phone (970) 449-0082

3051 Churchill Dr
Suite 100
Flower Mound, TX 75022-5900
Phone (972) 410-3682

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Davoodi Family Medicine PA CurrentSince Apr 1, 2012 Accepting new patients
Banner Fort Collins PCP LLC CurrentSince Nov 1, 2025 Accepting new patients
Banner Fort Collins PCP LLC Past Accepting new patients
Physicians and Allied Health Professionals Group, PA Family Medicine Past Accepting new patients

Locations

2025 Bighorn Rd
Fort Collins, CO 80525
Phone (970) 229-9800

205 S Main St
Ste B
Longmont, CO 80501
Phone (303) 772-6244

3051 Churchill Dr
Ste 100
Flower Mound, TX 75022
Phone (817) 632-2336

Interoperability endpoints

  • Direct secure messaging: fariborzdavoodi@dvdfm.allscriptsdirect.net
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/69286

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1811924343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 BIGHORN RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253480",
            "telephone_number": "970-440-0082",
            "fax_number": "970-823-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 BIGHORN RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253480",
            "telephone_number": "970-449-0082",
            "fax_number": "970-823-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVOODI",
        "first_name": "FARIBORZ",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H2930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131777805",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131777808",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.