Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Farbod Khaki, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114360054

Dr. Farbod Khaki, MD is a General Surgery in Greeley, Colorado. Graduated from Oregon Health Sciences University School of Medicine in 2013, 13 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Colorado.

Years since qualifying
13
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
AZ, CO
In the registry since
2013
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6767 29th St Fl 2
Greeley, CO 80634-5474
Phone: (970) 652-2426
Fax: (970) 652-2478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3181 Sw Sam Jackson Park Road, Portland, OR 97239 — (503) 494-8211

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence DR.0070274 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Surgery Physician Taxonomy 208600000X · Licence 49703 (AZ)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence DR.0070274 (CO)

Record details

NPI number1114360054
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2013
Last updated in NPPESFebruary 23, 2023
Certification dateFebruary 23, 2023
Mailing address6767 29th St Fl 2, Greeley, CO 80634-5474

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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