NPIMap

Individual provider Active NPI

Lisa M Balduf, MD

  • Surgery Physician
  • Boulder, CO
National Provider Identifier
1700817434
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DR.0074648 Issued in CO
Practice address
4743 Arapahoe Ave Ste 100
Boulder, CO 80303-1123
Phone
(303) 443-2123
Fax
(303) 443-9497
NPI assigned
Jul 5, 2006
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD2006-0263 NM
Surgery Physician 208600000X DR.0074648 CO Primary

Addresses

Primary practice location

4743 Arapahoe Ave Ste 100
Boulder, CO 80303-1123

Mailing address

PO Box 9049
Boulder, CO 80301-9049
Phone (303) 415-4101

Other practice location 1

4901 Lang Ave NE
Albuquerque, NM 87109-4397
Phone (505) 842-8171

Other practice location 2

101 Erie Pkwy Ste 201G
Erie, CO 80516-4072
Phone (303) 443-2123

Other identifiers 2

IdentifierTypeStateIssuer
18453597MedicaidNM
9000245035MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070201000539 NM Practitioner - General Surgery 7618957309 Reassigns benefits to 2 organizations
I20250515002068 CO Practitioner - General Surgery 7618957309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of North Carolina at Chapel Hill School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boulder Community HealthGroup PAC ID 6800707233, 260 clinicians

Practice addresses (Care Compare)

4743 Arapahoe Ave
Suite 100
Boulder, CO 80303-1123
Phone (303) 443-2123

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.51 of 100Reported as group
Quality
93.17
Promoting interoperability
93
Improvement activities
40
Cost
74.35

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0074648COMDSurgery Physician
MD2006-0263NMMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Family Medicine CurrentSince Sep 1, 2006 Accepting new patients
New Mexico Oncology Hematology Consultants, LTD. CurrentSince Dec 1, 2021 Accepting new patients
Presbyterian Healthcare Services CurrentSince Sep 1, 2006 Accepting new patients
Boulder Community Health CurrentSince Jun 2, 2025 Accepting new patients
Boulder Community Health CurrentSince Jun 2, 2025 Accepting new patients
Boulder Community Health Current Accepting new patients
Boulder Community Health Past Accepting new patients
Boulder Community Health Past Accepting new patients

Locations

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

4743 Arapahoe Ave
Ste 100
Boulder, CO 80303
Phone (303) 415-4599

101 Erie Pkwy
Ste 201G
Erie, CO 80516
Phone (303) 415-4599

201 Cedar St SE
Ste 306
Albuquerque, NM 87106
Phone (505) 247-3635

4901 Lang Ave NE
Albuquerque, NM 87109
Phone (505) 828-3877

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

2240 College Dr
Gallup, NM 87301
Phone (505) 297-1052

Interoperability endpoints

  • Direct secure messaging: lbalduf557700@ahs.direct-ci.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1700817434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9049",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803019049",
            "telephone_number": "303-415-4101",
            "fax_number": "303-415-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4743 ARAPAHOE AVE STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031123",
            "telephone_number": "303-443-2123",
            "fax_number": "303-443-9497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4901 Lang Ave NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871094397",
            "country_code": "US",
            "telephone_number": "505-842-8171",
            "fax_number": "505-246-0684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Erie Pkwy Ste 201G",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "CO",
            "postal_code": "805164072",
            "country_code": "US",
            "telephone_number": "303-443-2123",
            "fax_number": "303-443-9497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDUF",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "MD2006-0263",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0074648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18453597",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000245035",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.