NPIMap

Boulder Medical Center, PC

A Medicare group practice based in Boulder, CO: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 4183536204), with 99 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4183536204The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Multi-Specialty - Physician, Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
Enrolled in
CO
Enrollments
4
Group size
86 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
9In 4 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20031105000512 CO Part B Supplier - Clinic/Group Practice 1306820923
O20040203000968 CO Part B Supplier - Independent Clinical Laboratory 1306820923
O20040322000839 CO Part B Supplier - Ambulatory Surgical Center 1962668319
O20100930064696 CO DME Supplier - Multi-Specialty - Physician 1306820923

NPIs in this group 7

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 99

Clinicians who reassign their Medicare benefits to this group (99) or whom Care Compare lists as members (86).

Sources for this page