BOULDER VALLEY PATHOLOGY P C
NPI 1205897220
Pathology - Anatomic Pathology & Clinical Pathology in Boulder, CO
About Boulder Valley Pathology P C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOULDER VALLEY PATHOLOGY P C (NPI 1205897220) is a healthcare organization registered as an anatomic pathology & clinical pathology in Boulder, Colorado and active in the NPI registry since March 2006. The organization lists Kevin W Hanley, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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 Pathology P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 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.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Boulder Valley Pathology P C, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Pathology P C's NPI number?
The NPI number for Boulder Valley Pathology P C is 1205897220. It was assigned to this organization in the NPPES registry on March 29, 2006.
Where is Boulder Valley Pathology P C located?
Boulder Valley Pathology P C is located at 4747 Arapahoe Ave, Boulder, CO 80303. The listed phone number is (303) 415-7000.
What is Boulder Valley Pathology P C's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Boulder Valley Pathology P C enrolled in Medicare?
Yes. Boulder Valley Pathology P C is registered in the Medicare PECOS enrollment system.
When is Boulder Valley Pathology P C'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 March 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.
How many clinicians bill Medicare through Boulder Valley Pathology P C?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Pathology, reassign their Medicare billing to Boulder Valley Pathology P C. 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. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Boulder Valley Pathology P C was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.
# Boulder Valley Pathology P C · NPI 1205897220
Anatomic Pathology & Clinical Pathology organization in Boulder, Colorado. Organization record, active in the CMS NPPES registry since March 29, 2006.
## Identity
- **NPI:** 1205897220 (Entity type: Organization)
- **Enumerated:** March 29, 2006
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **Organization subpart:** No
- **Authorized official:** Kevin Hanley, PRESIDENT
## Practice location
- **Address:** 4747 ARAPAHOE AVE, Boulder, CO 80303-1131
- **Phone:** (303) 415-7000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Colorado, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians (Pathology) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 16, 2026
- **Other identifiers:** Medicaid 04984043 (CO); Other CN8338 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1205897220) · Data from the CMS NPPES public registry.