NPIMap

Individual provider Active NPI

Thomas Matthew Wilcox, DO

  • Pulmonary Disease Physician
  • Boulder, CO
National Provider Identifier
1073629507
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
DR.0035574 Issued in CO
Practice address
4820 Riverbend Rd Ste 100
Boulder, CO 80301-2618
Phone
(303) 415-5399
Fax
(303) 297-5808
NPI assigned
Aug 21, 2006
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X DR.0035574 CO Primary

Addresses

Primary practice location

4820 Riverbend Rd Ste 100
Boulder, CO 80301-2618

Mailing address

PO Box 9049
Boulder, CO 80301-9049
Phone (303) 415-5399

Other practice location 1

1000 W South Boulder Rd Ste 214C
Lafayette, CO 80026-2089
Phone (303) 415-5399

Other practice location 2

101 Erie Pkwy Ste 201F
Erie, CO 80516-4072
Phone (303) 415-5399

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
I20090826000800 CO Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 4587560404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
University of North Texas HSC, College of Osteopathic Med, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boulder Community HealthGroup PAC ID 6800707233, 260 clinicians

Practice addresses (Care Compare)

1000 W S Boulder Rd
Lafayette, CO 80026-2089

1755 48TH St
Suite 200
Boulder, CO 80301-2712
Phone (303) 415-7450

4747 Arapahoe Ave
Boulder, CO 80303-1131
Phone (303) 415-7610

4820 Riverbend Rd
Suite 100
Boulder, CO 80301-2618
Phone (303) 415-5399

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Community Health CurrentSince Oct 1, 2015 Accepting new patients
Boulder Community Health CurrentSince Oct 1, 2015 Accepting new patients
Boulder Community Health Current Accepting new patients
Boulder Community Health Past Accepting new patients
Boulder Community Health Past Accepting new patients
North Denver Pulmonary & Critical Care Pulmonary Disease PastSince Oct 20, 2008 Accepting new patients

Locations

1155 Alpine Ave
Ste 150
Boulder, CO 80304
Phone (303) 245-7056

1755 48th St
Ste 200
Boulder, CO 80301
Phone (303) 415-7450

4743 Arapahoe Ave
Boulder, CO 80303
Phone (303) 444-9000

4743 Arapahoe Ave
Ste 201C
Boulder, CO 80303
Phone (303) 442-2150

4820 Riverbend Rd
Ste 100
Boulder, CO 80301
Phone (303) 415-5399

5450 Western Ave
Boulder, CO 80301
Phone (303) 415-4770

101 Erie Pkwy
Erie, CO 80516
Phone (303) 415-5170

90 Health Park Dr
Ste 130
Louisville, CO 80027
Phone (303) 415-5399

Organizations & group practices 6

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 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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1073629507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9049",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803019049",
            "telephone_number": "303-415-5399",
            "fax_number": "303-297-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 RIVERBEND RD STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012618",
            "telephone_number": "303-415-5399",
            "fax_number": "303-297-5808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W South Boulder Rd Ste 214C",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800262089",
            "country_code": "US",
            "telephone_number": "303-415-5399",
            "fax_number": "303-442-3363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Erie Pkwy Ste 201F",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "CO",
            "postal_code": "805164072",
            "country_code": "US",
            "telephone_number": "303-415-5399",
            "fax_number": "303-297-5808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "THOMAS",
        "middle_name": "MATTHEW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CO",
            "license": "DR.0035574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.