Active NPI
Ronald Winfield Hartley Jr., MD
- Plastic and Reconstructive Surgery Physician
- Boulder, CO
National Provider Identifier
1649208646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 41210
- Practice address
- 1215 Spruce St Ste 201
Boulder, CO 80302-4839 - Phone
- (303) 443-2277
- Fax
- (303) 443-7124
- NPI assigned
- Jun 29, 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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 41210 | CO | Primary |
Addresses
Primary practice location
1215 Spruce St Ste 201
Boulder, CO 80302-4839
Mailing address
1215 Spruce St Ste 201
Boulder, CO 80302-4839
Phone (303) 443-2277
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
- Plastic and Reconstructive Surgery
- Education
- Emory University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2525 4TH St
Suite 202
Boulder, CO 80304-4014
Phone (303) 443-2277
Hospital & facility affiliations
- Adventhealth Avista
- Boulder Community Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 22 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41210 | CO | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulder Plastic Surgery Prof LLC | Specialist | Current | Accepting new patients |
| Boulder Plastic Surgery Prof LLC | Specialist | Current | Accepting new patients |
| Nashville Plastic Surgery Institute, PLLC | Past | Accepting new patients |
Locations
2525 4th St
Ste 202
Boulder, CO 80304
Phone (303) 443-2277
4747 Arapahoe Ave
Boulder, CO 80303
Phone (303) 415-7000
1215 Spruce St
Ste 201
Boulder, CO 80302
Phone (303) 443-2277
Interoperability endpoints
- rwhartley@directaddress.net
Organizations & group practices 3
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.
-
- Specialist
- Boulder, CO
- NPI 1043251432
-
- Specialist
- Boulder, CO
- NPI 1497341754
-
- Plastic Surgery Physician
- Nashville, TN
- NPI 1093717845
Hospital & facility affiliations 43
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": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1649208646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 SPRUCE ST STE 201",
"city": "BOULDER",
"state": "CO",
"postal_code": "803024839",
"telephone_number": "303-443-2277",
"fax_number": "303-443-7124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 SPRUCE ST STE 201",
"city": "BOULDER",
"state": "CO",
"postal_code": "803024839",
"telephone_number": "303-443-2277",
"fax_number": "303-443-7124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTLEY",
"first_name": "RONALD",
"middle_name": "WINFIELD",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CO",
"license": "41210",
"primary": true
}
],
"identifiers": [],
"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 23, 2026; 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.