BOULDER VALLEY ASTHMA & ALLERGY CLINICS, PC
NPI 1043835507
Specialist in Westminster, CO

Active since June 10, 2020CLIA 06D1074405 · Waiver
12000 PECOS ST STE 250, WESTMINSTER, CO 80234(303) 234-1067 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Boulder Valley Asthma & Allergy Clinics, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOULDER VALLEY ASTHMA & ALLERGY CLINICS, PC (NPI 1043835507) is a healthcare organization registered as a specialist in Westminster, Colorado and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through September 26, 2027 and lists Katherine Hoth, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1043835507
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBOULDER VALLEY ASTHMA & ALLERGY CLINICS, PC
Location Address12000 PECOS ST STE 250Westminster, CO 80234-3491
Mailing Address1746 Cole Blvd Ste 320Lakewood, CO 80401-3208 · (303) 234-1067
Organization SubpartNo
Authorized OfficialKatherine HothPractice Manager · (303) 234-9305
Enumeration DateJune 10, 2020
NPPES CertifiedJune 10, 2020
✔ NPI 1043835507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
12000 PECOS ST STE 250, Westminster, CO 80234

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Boulder Valley Asthma & Allergy Clinics, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateColoradoEnrollment IDO20051013001064Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Boulder Valley Asthma & Allergy Clinics, PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 2

Allergy/Immunology10
Nurse Practitioner1

Clinicians, nearest first (11)

Allergy/Immunology
NPI 1902806391
1746 COLE BLVD SUITE 320
Lakewood, CO 80401
(303) 234-1067
✔ PECOS15 mi
Allergy/Immunology
NPI 1487093514
1746 COLE BLVD STE 320
Lakewood, CO 80401
(303) 234-1067
✔ PECOS✔ Accepts Medicare15 mi
Allergy/Immunology
NPI 1235105628
1746 COLE BLVD STE 320
Lakewood, CO 80401
(303) 234-1067
✔ PECOS15 mi
Allergy/Immunology
NPI 1396127833
1746 COLE BLVD STE 320
Lakewood, CO 80401
(303) 234-1067
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1720683113
1746 COLE BLVD
Lakewood, CO 80401
(443) 388-3948
✔ PECOS✔ Accepts Medicare15 mi
Allergy/Immunology
NPI 1720472699
1746 COLE BLVD STE 320
Lakewood, CO 80401
(303) 234-1067
✔ PECOS✔ Accepts Medicare15 mi
Allergy/Immunology
NPI 1417916545
1746 COLE BLVD STE 320
Lakewood, CO 80401
(303) 234-1067
✔ PECOS✔ Accepts Medicare15 mi
Allergy/Immunology
NPI 1275897001
1746 COLE BLVD STE 320
Lakewood, CO 80401
(303) 234-1067
✔ PECOS✔ Accepts Medicare15 mi
Allergy/Immunology
NPI 1295735694
1746 COLE BLVD SUITE 320
Lakewood, CO 80401
(303) 234-1067
✔ PECOS✔ Accepts Medicare15 mi
Allergy/Immunology
NPI 1417983438
3950 BROADWAY ST BOULDER VALLEY ASTHMA AND ALLERGY CLINICS
Boulder, CO 80304
(303) 444-5995
✔ PECOS✔ Accepts Medicare17 mi
Allergy/Immunology
NPI 1346551991
2112 E 38TH ST
Davenport, IA 52807
(563) 359-0324
✔ PECOS✔ Accepts Medicare766 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D1074405

Boulder Valley Asthma & Allergy Clinics, PC · Westminster, CO
Active · expires Sep 26, 2027
CLIA Number06D1074405
Laboratory TypeAllergy & Asthma
Certificate Effective DateSeptember 27, 2025
Certificate Expiration DateSeptember 26, 2027
Laboratory DirectorDr. Francine G. Andrews
Laboratory Phone(303) 234-1067
Laboratory LocationBoulder Valley Asthma & Allergy Clinics, PC12000 N Pecos St, Ste 250, Westminster, CO 80234
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 06D1032487

Boulder Valley Asthma & Allergy Clinics, PC · Golden, CO
Expired · Oct 24, 2026
CLIA Number06D1032487
Laboratory TypePhysician Office
Certificate Effective DateOctober 25, 2024
Certificate Expiration DateOctober 24, 2026
Laboratory DirectorDr. Francine G. Andrews
Laboratory Phone(303) 234-1067
Laboratory LocationBoulder Valley Asthma & Allergy Clinics, PC1746 Cole Blvd #320, Golden, CO 80401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boulder Valley Asthma & Allergy Clinics, PC's NPI number?

The NPI number for Boulder Valley Asthma & Allergy Clinics, PC is 1043835507. It was assigned to this organization in the NPPES registry on June 10, 2020.

Where is Boulder Valley Asthma & Allergy Clinics, PC located?

Boulder Valley Asthma & Allergy Clinics, PC is located at 12000 Pecos St Ste 250, Westminster, CO 80234. The listed phone number is (303) 234-1067.

What is Boulder Valley Asthma & Allergy Clinics, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Boulder Valley Asthma & Allergy Clinics, PC enrolled in Medicare?

Yes. Boulder Valley Asthma & Allergy Clinics, PC is registered in the Medicare PECOS enrollment system.

When is Boulder Valley Asthma & Allergy Clinics, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Boulder Valley Asthma & Allergy Clinics, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Boulder Valley Asthma & Allergy Clinics, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Allergy/Immunology (10) and Nurse Practitioner (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Boulder Valley Asthma & Allergy Clinics, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D1074405) is associated with this NPI, valid through September 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Boulder Valley Asthma & Allergy Clinics, PC was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.