Active NPI
Matthew H Blomquist, M.D.
- Diagnostic Radiology Physician
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35493
- Practice address
- 4747 Arapahoe Ave
Boulder, CO 80303-1131 - Phone
- (303) 415-7500
- NPI assigned
- Feb 17, 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 35493 | CO | Primary |
Addresses
Primary practice location
4747 Arapahoe Ave
Boulder, CO 80303-1131
Mailing address
42 Garden Ctr
Broomfield, CO 80020-1730
Phone (303) 465-0401
Other practice location 1
1100 Balsam Ave
Boulder, CO 80304-3404
Phone (303) 440-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01354935 | 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
- Diagnostic Radiology
- Education
- Boston University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4747 Arapahoe Ave
Boulder, CO 80303-1131
Phone (303) 465-0401
Hospital & facility affiliations
- Boulder Community Health
- University of Colorado Hospital Authority
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35493 | CO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulder Radiologists Inc P C | Diagnostic Radiology | Current | Accepting new patients |
| Bouldercentre for Orthopedics PC | Past | Accepting new patients |
Locations
4740 Pearl Pkwy
Ste 110
Boulder, CO 80301
4747 Arapahoe Ave
Boulder, CO 80303
Phone (303) 415-7000
6685 Gunpark Dr
Ste 102
Boulder, CO 80301
Phone (303) 415-5199
2750 Broadway St
Boulder, CO 80304
Phone (303) 440-3000
1100 Balsam Ave
Boulder, CO 80304
Phone (303) 415-7000
2880 Folsom St
Ste 100
Boulder, CO 80304
Phone (303) 247-9696
42 Garden Ctr
Broomfield, CO 80020
36 Garden Ctr
Broomfield, CO 80020
Phone (303) 465-0401
101 Erie Pkwy
Erie, CO 80516
Phone (303) 415-5170
1000 W South Boulder Rd
Ste 105
Lafayette, CO 80026
Phone (303) 604-5031
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.
-
- Diagnostic Radiology Physician
- Boulder, CO
- NPI 1891756813
-
- Orthopaedic Surgery Physician
- Boulder, CO
- NPI 1336197631
Hospital & facility affiliations 61
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": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1487629036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 GARDEN CTR",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800201730",
"telephone_number": "303-465-0401",
"fax_number": "303-438-1351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4747 ARAPAHOE AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031131",
"telephone_number": "303-415-7500"
}
],
"practiceLocations": [
{
"address_1": "1100 Balsam Ave",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803043404",
"country_code": "US",
"telephone_number": "303-440-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLOMQUIST",
"first_name": "MATTHEW",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "35493",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01354935",
"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 Mar 15, 2021; 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.