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FOOTHILLS SURGERY CENTER, LLC
NPI 1104189042
Clinic/Center - Ambulatory Surgical in Boulder, CO

Active since June 15, 2012CLIA 06D2053998 · Waiver
4743 ARAPAHOE AVE, STE 101, BOULDER, CO 80303(303) 435-7161 Get Directions Write a Review

NPPES record last updated: February 20, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Foothills Surgery Center, Llc NPPES

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

FOOTHILLS SURGERY CENTER, LLC (NPI 1104189042) is a healthcare organization registered as an ambulatory surgical in Boulder, Colorado and active in the NPI registry since June 2012. The organization holds a CLIA Waiver certificate valid through February 11, 2027 and lists Lori Tamburo, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104189042
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameFOOTHILLS SURGERY CENTER, LLC
Location Address4743 ARAPAHOE AVE, STE 101Boulder, CO 80303
Mailing Address4743 Arapahoe Ave Ste 101Boulder, CO 80303-1123 · (720) 441-5757 · Fax (303) 954-8412
Phone(303) 435-7161
Organization SubpartNo
Authorized OfficialLori TamburoAdministrator · (720) 441-5757
Enumeration DateJune 15, 2012
Last NPPES UpdateFebruary 20, 2018
✔ NPI 1104189042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4743 ARAPAHOE AVE, Boulder, CO 80303
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Foothills Surgery Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

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 IDO20121109000152Non-DME Part B · Ambulatory Surgical CenterDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

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 06D2053998

Foothills Surgery Center, LLC · Boulder, CO
Active · expires Feb 11, 2027
CLIA Number06D2053998
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 12, 2025
Certificate Expiration DateFebruary 11, 2027
Laboratory DirectorMelissa A. Neely
Laboratory Phone(720) 441-5757
Laboratory LocationFoothills Surgery Center, LLC4743 Arapahoe Ave, Suite 101, Boulder, CO 80303
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
109 services69 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
73 services45 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
60 services49 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
52 services29 patients
Removal of nasal air passage under lining tissue 30140
This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.
40 services20 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
34 services31 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA LOCHER ACNP
Nurse Practitioner (Acute Care)
4743 ARAPAHOE AVE, SUITE 201
BOULDER, CO 80303
Boulder County (303) 442-2395
ALPINE UROLOGY, PLLC
Specialist
4743 ARAPAHOE AVE, SUITE104
BOULDER, CO 80303
Boulder County (303) 444-9000
DR. CHARLES GRAHAM JONES MD
Surgery
4743 ARAPAHOE AVE, SUITE 100
BOULDER, CO 80303
Boulder County (303) 443-2123
MONI BANERJEE PA
Physician Assistant (Medical)
4743 ARAPAHOE AVE, SUITE 201
BOULDER, CO 80303
Boulder County (303) 442-2395
TIMOTHY A ORINGER P.A.
Physician Assistant
4743 ARAPAHOE AVE, SUITE 201
BOULDER, CO 80303
Boulder County (303) 442-2395
JOHN CHRISTOPHER KEFER MD PHD
Urology
4743 ARAPAHOE AVE, SUITE 104
BOULDER, CO 80303
Boulder County (303) 444-9000
MARSDEN SCOTT BLOIS IV MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
4743 ARAPAHOE AVE, STE 201
BOULDER, CO 80303
Boulder County (303) 442-2395
NERVE-US, LLC
Psychiatry & Neurology (Neurology)
4743 ARAPAHOE AVE, SUITE 202
BOULDER, CO 80303
Boulder County (281) 324-5660

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 Foothills Surgery Center, LLC's NPI number?

The NPI number for Foothills Surgery Center, LLC is 1104189042. It was assigned to this organization in the NPPES registry on June 15, 2012.

Where is Foothills Surgery Center, LLC located?

Foothills Surgery Center, LLC is located at 4743 Arapahoe Ave Ste 101, Boulder, CO 80303. The listed phone number is (303) 435-7161.

What is Foothills Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Foothills Surgery Center, LLC enrolled in Medicare?

Yes. Foothills Surgery Center, LLC is registered in the Medicare PECOS enrollment system.

When is Foothills Surgery Center, LLC'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, Ambulatory Surgical Center) is due for revalidation by January 31, 2027. 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.

Does Foothills Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2053998) is associated with this NPI, valid through February 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Foothills Surgery Center, LLC accept?

Health plans from Select Health list Foothills Surgery Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Foothills Surgery Center, LLC was last updated on February 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.