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Individual provider Active NPI

Avery Keller Chaves, MD

  • Obstetrics & Gynecology Physician
  • Honolulu, HI
National Provider Identifier
1952979197
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DR.0075861 Issued in CO
Practice address
1319 Punahou Street, #824
Honolulu, HI 96826
Phone
(605) 393-5798
NPI assigned
Jun 15, 2021
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X DR.0075861 CO Primary

Addresses

Primary practice location

1319 Punahou Street, #824
Honolulu, HI 96826

Mailing address

1015 E Pikes Peak Ave Ste 100
Colorado Springs, CO 80903-5700

Other practice location 1

1015 E Pikes Peak Ave Ste 100
Colorado Springs, CO 80903-5700
Phone (719) 365-1980 ext. 51980

Other names 1

  • Avery Keller Olson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260112003822 CO Practitioner - Obstetrics/Gynecology 4587140231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1015 E Pikes Peak Ave
Suite 100
Colorado Springs, CO 80903-5700
Phone (719) 632-8118

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0075861COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC Obstetrics & Gynecology CurrentSince Dec 7, 2025 Accepting new patients
Uch-MHS Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

1015 E Pikes Peak Ave
Ste 100
Colorado Springs, CO 80903
Phone (719) 473-2424

Organizations & group practices 3

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1952979197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 E PIKES PEAK AVE STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809035700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU STREET, #824",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96826",
            "telephone_number": "605-393-5798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 E Pikes Peak Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809035700",
            "country_code": "US",
            "telephone_number": "719-365-1980 x51980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVES",
        "first_name": "AVERY",
        "middle_name": "KELLER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "DR.0075861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVERY",
            "last_name": "OLSON",
            "middle_name": "KELLER",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.