NPIMap

Individual provider Active NPI

Hunter Russell Smith, M.D.

  • Pulmonary Disease Physician
  • Boulder, CO
National Provider Identifier
1174616130
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
24423 Issued in CO
Practice address
4820 Riverbend Rd Ste 100
Boulder, CO 80301-2618
Phone
(303) 415-5399
Fax
(303) 297-5808
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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 24423 CO Primary

Addresses

Primary practice location

4820 Riverbend Rd Ste 100
Boulder, CO 80301-2618

Mailing address

5450 Western Ave
Boulder, CO 80301-2709
Phone (303) 415-5399

Other practice location 1

90 Health Park Dr Ste 130
Louisville, CO 80027-9586
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
I20040427000157 CO Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 3870580608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
University of Colorado School of Medicine, Denver, 1980
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

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 Medicine

State licenses

LicenseStateTypeSpecialty
24423COMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Community Health Current Accepting new patients
Boulder Community Health CurrentSince Oct 1, 2015 Accepting new patients
Boulder Community Health CurrentSince Oct 1, 2015 Accepting new patients
Boulder Community Health Past Accepting new patients
Boulder Community Health Past Accepting new patients
Sound Hospitalists of Centura, PC Past Accepting new patients

Locations

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

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

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

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

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 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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1174616130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 WESTERN AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012709",
            "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": "90 Health Park Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "CO",
            "postal_code": "800279586",
            "country_code": "US",
            "telephone_number": "303-415-5399",
            "fax_number": "303-297-5808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HUNTER",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CO",
            "license": "24423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.