Active NPI
Zachary A. Flake, MD
- Family Medicine Physician
- Loveland, CO
National Provider Identifier
1912946377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 42082
- Practice address
- 2923 Ginnala Dr
Loveland, CO 80538-2702 - Phone
- (970) 820-5000
- Fax
- (970) 203-1029
- NPI assigned
- Jun 4, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0431195 | KS | |
| Family Medicine Physician | 207Q00000X | 42082 | CO | Primary |
Addresses
Primary practice location
2923 Ginnala Dr
Loveland, CO 80538-2702
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Phone (970) 820-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96401222 | Medicaid | CO |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080124000451 | CO | Practitioner - Family Practice | 8123063450 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Banner Health Physicians Colorado LLC
Practice addresses (Care Compare)
1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4121
2923 Ginnala Dr
Loveland, CO 80538-2702
Phone (970) 820-5000
Hospital & facility affiliations
- Banner Home Care Colorado
- Banner North Colorado Medical Center
- Medical Center of the Rockies
- Banner North Co Medical Center - Loveland Campus
- Banner Fort Collins Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42082 | CO | MD | Family Medicine Physician |
| 0431195 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Colorado Family Medicine | Current | Accepting new patients | |
| Banner Health Physicians Colorado LLC | Current | Accepting new patients | |
| Banner Health Physicians Colorado LLC | Current | Accepting new patients | |
| Big Thompson Medical Group Inc | Family Medicine | Past | Accepting new patients |
| Banner Health Physicians Colorado LLC | Past | Accepting new patients | |
| Sjmgroup | Past | Accepting new patients |
Locations
2901 N Central Ave
Ste 160
Phoenix, AZ 85012
Phone (520) 481-4280
1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121
1600 23rd Ave
Greeley, CO 80634
Phone (970) 356-2424
1801 16th St
Greeley, CO 80631
Phone (970) 352-4121
2701 Madison Square Dr
Loveland, CO 80538
Phone (970) 663-0722
2923 Ginnala Dr
Loveland, CO 80538
Phone (970) 669-6660
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.
-
- Multi-Specialty Clinic/Center
- Torrington, WY
- NPI 1215375688
-
- Multi-Specialty Clinic/Center
- Windsor, CO
- NPI 1831476381
-
- Family Medicine Physician
- Loveland, CO
- NPI 1720011786
Family Medicine
-
- Endocrinology, Diabetes & Metabolism Physician
- Englewood, CO
- NPI 1376590034
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1912946377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 N CENTRAL AVE STE 160",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122702",
"telephone_number": "970-820-5000",
"fax_number": "970-820-5061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2923 GINNALA DR",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805382702",
"telephone_number": "970-820-5000",
"fax_number": "970-203-1029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLAKE",
"first_name": "ZACHARY",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "0431195",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "42082",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "96401222",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.
- 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.