BOULDER MEDICAL CENTER, P.C.
NPI 1306820923
Clinic/Center - Multi-Specialty in Boulder, CO

Active since December 06, 2005
2750 BROADWAY ST, BOULDER, CO 80304(303) 440-3000 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Boulder Medical Center, P.c. NPPES

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

BOULDER MEDICAL CENTER, P.C. (NPI 1306820923) is a healthcare organization registered as a multi-specialty in Boulder, Colorado and active in the NPI registry since December 2005. The organization lists Casandra Richards, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1306820923
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBOULDER MEDICAL CENTER, P.C.
Location Address2750 BROADWAY STBoulder, CO 80304-3573
Mailing Address2750 Broadway StBoulder, CO 80304-3573 · (303) 440-3000
Organization SubpartNo
Authorized OfficialCasandra RichardsCredentialing Coordinator · (303) 440-3076
Enumeration DateDecember 6, 2005
Last NPPES UpdateOctober 20, 2023
NPPES CertifiedOctober 20, 2023
✔ NPI 1306820923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2750 BROADWAY ST, Boulder, CO 80304

Accepted Insurance

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 Medical Center, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 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 IDO20031105000512Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

85

Medicare enrollment records show 85 clinicians reassign Medicare billing to Boulder Medical Center, P.C., which bills Medicare for the services they deliver. Of these, 38 practice at this address and 70 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Family Practice17
Internal Medicine12
Pediatric Medicine10
Obstetrics/Gynecology7
Nurse Practitioner6
Dermatology3
Endocrinology3
Gastroenterology3
11 other specialties24

Nearest to this location (20)

See all 85
Allergy/Immunology
NPI 1750365565
2750 BROADWAY ST
Boulder, CO 80304
(303) 440-3000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1558194290
2750 BROADWAY ST
Boulder, CO 80304
(303) 440-3200
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1396913117
2750 BROADWAY ST
Boulder, CO 80304
(303) 440-3036
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1376938407
2750 BROADWAY ST
Boulder, CO 80304
(303) 440-3013
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1750365417
2750 BROADWAY ST
Boulder, CO 80304
(303) 440-3268
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1871676148
2750 BROADWAY ST
Boulder, CO 80304
(303) 440-3013
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1275559049
2750 BROADWAY ST
Boulder, CO 80304
(303) 440-3082
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1134245319
2750 BROADWAY ST
Boulder, CO 80304
(303) 440-3200
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1245464692
2750 BROADWAY ST
Boulder, CO 80304
(303) 440-3073
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1801860101
2750 BROADWAY ST
Boulder, CO 80304
(303) 440-3102
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1124003330
2750 BROADWAY ST
Boulder, CO 80304
(303) 440-3000
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1275518482
2750 BROADWAY ST
Boulder, CO 80304
(303) 440-3000
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1316948797
2750 BROADWAY ST
Boulder, CO 80304
(303) 440-3216
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1659417731
2750 BROADWAY ST
Boulder, CO 80304
(303) 440-3036
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1639598972
2750 BROADWAY ST
Boulder, CO 80304
(303) 440-3000
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1881485423
2750 BROADWAY ST
Boulder, CO 80304
(303) 440-3076
✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1316921919
2750 BROADWAY ST
Boulder, CO 80304
(303) 440-3000
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1679863112
2750 BROADWAY ST
Boulder, CO 80304
(303) 440-3000
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1902860091
2750 BROADWAY ST
Boulder, CO 80304
(303) 440-3093
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1326022930
2750 BROADWAY ST
Boulder, CO 80304
(303) 440-3000
✔ PECOS✔ Accepts MedicareSame address
See all 85 clinicians

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 Medical Center, P.C.'s NPI number?

The NPI number for Boulder Medical Center, P.C. is 1306820923. It was assigned to this organization in the NPPES registry on December 6, 2005.

Where is Boulder Medical Center, P.C. located?

Boulder Medical Center, P.C. is located at 2750 Broadway St, Boulder, CO 80304. The listed phone number is (303) 440-3000.

What is Boulder Medical Center, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Boulder Medical Center, P.C. enrolled in Medicare?

Yes. Boulder Medical Center, P.C. is registered in the Medicare PECOS enrollment system.

When is Boulder Medical Center, 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 February 28, 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 Medical Center, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 85 clinicians in 19 Medicare specialties reassign their Medicare billing to Boulder Medical Center, 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. The largest specialties are Family Practice (17), Internal Medicine (12) and Pediatric Medicine (10). Of these, 38 practice at this address and 70 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Boulder Medical Center, P.C. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 46 other insurers list Boulder Medical Center, P.C. 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 Boulder Medical Center, P.C. was last updated on October 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.