Poudre Valley Medical Group, LLC
NPI 1578242525ActiveOrganization· Surgery, Vascular Surgery· Loveland, CO
Surgery, Vascular Surgery in Loveland, Colorado, registered in NPPES in July 2023, part of Poudre Valley Medical Group, LLC. The authorized official on file is Jana Conroy, Director Of Credentialing.
Overview
| NPI | 1578242525 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Poudre Valley Medical Group, LLC |
| NPI issued | Jul 17, 2023 |
| Last updated in NPPES | Jul 29, 2025 |
| Certified by provider | Jul 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | — | — |
| Surgery | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Surgery, Vascular Surgery providers in Loveland
- 1285945824
- 1861832255
- 1578913802
- 1295230324