Individual provider Active NPI

Robert Anthony Mason, MD

  • Family Medicine Physician
  • Windsor, CO
National Provider Identifier
1821005992
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32957 Issued in CO
Practice address
1300 Main St
Windsor, CO 80550-5989
Phone
(970) 686-5646
Fax
(970) 686-5118
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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 32957 CO Primary

Addresses

Primary practice location

1300 Main St
Windsor, CO 80550-5989

Mailing address

1300 Main St
Windsor, CO 80550-5989
Phone (970) 686-5646

Other identifiers 2

IdentifierTypeStateIssuer
01329572MedicaidCO
MAR4678OtherCOBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20060112000418 CO Practitioner - Family Practice 7911920244 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Health Physicians Colorado LLCGroup PAC ID 8921273038, 278 clinicians

Practice addresses (Care Compare)

100 S Cherry Ave
Unit 1
Eaton, CO 80615-8256
Phone (970) 454-3838

1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4121

303 Colland Dr
Fort Collins, CO 80525-4205
Phone (970) 821-3031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32957COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians Colorado LLC CurrentSince Sep 1, 2015 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Mar 17, 2020 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Mar 17, 2020 Accepting new patients
Banner Hospital Based Physicians Colorado LLC Current Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Sep 1, 2015 Accepting new patients
Banner Fort Collins PCP LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

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

1625 Foxtrail Dr
Ste 190
Loveland, CO 80538
Phone (970) 500-2244

1300 Main St
Windsor, CO 80550
Phone (970) 686-5645

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1821005992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MAIN ST",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805505989",
            "telephone_number": "970-686-5646",
            "fax_number": "970-686-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MAIN ST",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805505989",
            "telephone_number": "970-686-5646",
            "fax_number": "970-686-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "ROBERT",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "32957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01329572",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "MAR4678",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CO

Sources for this page

Verify at the official NPI Registry.