Individual provider Active NPI

Mary Katherine Hill, MD

  • Dermatology Physician
  • Northglenn, CO
National Provider Identifier
1477058428
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
DR.0067924 Issued in CO
Practice address
11990 Grant St Ste 300
Northglenn, CO 80233-1135
Phone
(303) 442-6647
Fax
(303) 442-2696
NPI assigned
Mar 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X DR.0067924 CO Primary

Addresses

Primary practice location

11990 Grant St Ste 300
Northglenn, CO 80233-1135

Mailing address

1056 S 88TH St
Louisville, CO 80027-9460
Phone (303) 442-6647

Other practice location 1

2880 Folsom St Ste 200
Boulder, CO 80304-3769
Phone (303) 442-6647

Other practice location 2

1056 S 88th St
Louisville, CO 80027-9460
Phone (303) 442-6647

Other practice location 3

776 W Eisenhower Blvd
Loveland, CO 80537-3157
Phone (303) 442-6647

Other practice location 4

36 S 18th Ave Ste H
Brighton, CO 80601-2452
Phone (303) 442-6647

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
I20230517000746 CO Practitioner - Dermatology 2567719859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Colorado School of Medicine, Denver, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boulder Valley Center for Dermatology LLCGroup PAC ID 9335037159, 8 clinicians

Practice addresses (Care Compare)

1140 W S Boulder Rd
Suite 202
Lafayette, CO 80026-8910
Phone (303) 604-1444

Merit-based Incentive Payment System (MIPS)

Final score
88.43 of 100Reported as group
Quality
89.17
Promoting interoperability
100
Improvement activities
40
Cost
72.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision24
Removal of skin lesions566
Removal or shaving of skin growth11
Skin biopsy177

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0067924COMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Valley Center for Dermatology LLC Dermatology CurrentSince May 1, 2023 Accepting new patients
Boulder Valley Center for Dermatology LLC Dermatology PastSince Jul 31, 2022 Accepting new patients

Locations

3000 Center Green Dr
Ste 260
Boulder, CO 80301
Phone (303) 447-2737

1140 W South Boulder Rd
Ste 202
Lafayette, CO 80026
Phone (303) 604-1444

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2831/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.

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1477058428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 S 88TH ST",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279460",
            "telephone_number": "303-442-6647",
            "fax_number": "303-442-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11990 GRANT ST STE 300",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802331135",
            "telephone_number": "303-442-6647",
            "fax_number": "303-442-2696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2880 Folsom St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803043769",
            "country_code": "US",
            "telephone_number": "303-442-6647",
            "fax_number": "303-442-2696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1056 S 88th St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "CO",
            "postal_code": "800279460",
            "country_code": "US",
            "telephone_number": "303-442-6647",
            "fax_number": "303-442-2696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "776 W Eisenhower Blvd",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805373157",
            "country_code": "US",
            "telephone_number": "303-442-6647",
            "fax_number": "303-442-2696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36 S 18th Ave Ste H",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "CO",
            "postal_code": "806012452",
            "country_code": "US",
            "telephone_number": "303-442-6647",
            "fax_number": "303-442-2696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "DR.0067924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

Verify at the official NPI Registry.