Individual provider Active NPI

William Crane Fix, MD

  • Dermatology Physician
  • Boulder, CO
National Provider Identifier
1063972040
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
DR.0072825 Issued in CO
Practice address
3434 47TH St Ste 200
Boulder, CO 80301-1817
Phone
(303) 444-8100
NPI assigned
Mar 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A6000567 KS
Dermatology Physician 207N00000X DR.0072825 CO Primary

Addresses

Primary practice location

3434 47TH St Ste 200
Boulder, CO 80301-1817

Mailing address

3434 47TH St Ste 200
Boulder, CO 80301-1817
Phone (303) 444-8100

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240507003279 CO Practitioner - Dermatology 1850745464 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Perelman School of Med at the University of Pennsylvania, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
K2 Dermatology LLCGroup PAC ID 9638547474, 6 clinicians

Practice addresses (Care Compare)

3434 47TH St
Suite 200
Boulder, CO 80301-1817
Phone (303) 444-8100

Hospital & facility affiliations

  • Boulder Community Health Hospital, Boulder, CO, CCN 060027

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision103
Removal of skin lesions583
Skin biopsy178

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A6000567KSMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mandel Dermatology Boulder PLLC Dermatology CurrentSince Mar 1, 2024 Accepting new patients
K2 Dermatology, LLC Dermatology CurrentSince May 15, 2025 Accepting new patients

Locations

1840 Folsom St
Ste 100
Boulder, CO 80302
Phone (303) 219-0499

3434 47th St
Ste 200
Boulder, CO 80301
Phone (303) 444-8100

2575 Spruce St
Unit C
Boulder, CO 80302
Phone (720) 741-8051

45 Northern Blvd
Greenvale, NY 11548
Phone (516) 506-7546

Organizations & group practices 2

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.

Hospital & facility affiliations 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1063972040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 47TH ST STE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011817",
            "telephone_number": "303-444-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 47TH ST STE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011817",
            "telephone_number": "303-444-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIX",
        "first_name": "WILLIAM",
        "middle_name": "CRANE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KS",
            "license": "A6000567",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "DR.0072825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.