Active NPI
Richard Jay Fox, MD
- Surgery Physician
- Boulder, CO
National Provider Identifier
1295818474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 40751
- Practice address
- 4743 Arapahoe Ave
#102
Boulder, CO 80303-1113 - Phone
- (303) 449-3642
- Fax
- (303) 440-7298
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 40751 | CO | Primary |
Addresses
Primary practice location
4743 Arapahoe Ave
#102
Boulder, CO 80303-1113
Mailing address
4743 Arapahoe Ave
#102
Boulder, CO 80303-1113
Phone (303) 449-3642
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FOF60580 | Other | BLUE CROSS BLUE SHIELD | |
| 73459879 | Medicaid | CO |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Chicago College of Medicine and Surgery, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4743 Arapahoe Ave
Suite 102
Boulder, CO 80303-1123
Phone (303) 449-3642
Hospital & facility affiliations
- Boulder Community Health
- Adventhealth Avista
- Centura Health-St Anthony North Health Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 34 |
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 14 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Varicose vein removal | 72 |
| Melanoma (skin cancer) excision | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40751 | CO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpine Surgical LLC | Surgery | Current | Accepting new patients |
| Charles Jones MD PC | Surgery | Past | Accepting new patients |
Locations
4743 Arapahoe Ave
Ste 102
Boulder, CO 80303
Phone (303) 449-3642
Interoperability endpoints
- richard.fox.1@1332.direct.athenahealth.com
- https://api.platform.athenahealth.com/1332/brand/1/csg/1/fhir/r4
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.
-
- Surgery Physician
- Boulder, CO
- NPI 1396939203
-
- Surgery Physician
- Boulder, CO
- NPI 1376557967
Hospital & facility affiliations 49
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Boulder, CO
- NPI 1093357907
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1295818474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4743 ARAPAHOE AVE",
"address_2": "#102",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031113",
"telephone_number": "303-449-3642",
"fax_number": "303-440-7298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4743 ARAPAHOE AVE",
"address_2": "#102",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031113",
"telephone_number": "303-449-3642",
"fax_number": "303-440-7298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "RICHARD",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "40751",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "FOF60580",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "73459879",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.