1. Home
  2. Directory
  3. Colorado
  4. Lafayette
  5. Dermatology
  6. NPI Profile

BOULDER VALLEY CENTER FOR DERMATOLOGY LLC
NPI 1306927231
Dermatology in Lafayette, CO

Active since October 18, 2006
1140 W SOUTH BOULDER RD, STE 202, LAFAYETTE, CO 80026(303) 604-1444(303) 666-0911 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2024, Aug 22, 2020, Jun 21, 2018 (3 updates tracked since 2018).

About Boulder Valley Center For Dermatology Llc NPPES

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

BOULDER VALLEY CENTER FOR DERMATOLOGY LLC (NPI 1306927231) is a healthcare organization registered as a dermatology in Lafayette, Colorado and active in the NPI registry since October 2006. The organization lists Tabatha Hoeben, Administrator, as its authorized official.

NPPES Registry Identity

NPI1306927231
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBOULDER VALLEY CENTER FOR DERMATOLOGY LLC
Location Address1140 W SOUTH BOULDER RD, STE 202Lafayette, CO 80026-2854
Mailing Address1140 W South Boulder Rd, Ste 202Lafayette, CO 80026-2854 · (303) 604-1444 · Fax (303) 666-0911
Phone(303) 604-1444
Fax(303) 666-0911
Organization SubpartNo
Authorized OfficialTabatha HoebenAdministrator · (303) 604-1444
Enumeration DateOctober 18, 2006
Last NPPES UpdateMay 13, 20243 updates tracked since enumeration
NPPES CertifiedMay 13, 2024
✔ NPI 1306927231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1140 W SOUTH BOULDER RD, Lafayette, CO 80026
Open in Google Maps ↗

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Boulder Valley Center For Dermatology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Boulder Valley Center For Dermatology LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Thomas Gallagher, M.D.
Dermatology
NPI 1922189141
1140 W SOUTH BOULDER RD SUITE 202
Lafayette, CO 80026
(303) 604-1444
✔ PECOS✔ Accepts MedicareSame address
Anna Zanot, MD
Dermatology
NPI 1336760016
1140 W SOUTH BOULDER RD STE 202
Lafayette, CO 80026
(303) 604-1444
✔ PECOS✔ Accepts MedicareSame address
Mary Hill, MD
Dermatology
NPI 1477058428
11990 GRANT ST STE 300
Northglenn, CO 80233
(303) 442-6647
✔ PECOS✔ Accepts Medicare6.8 mi

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 Center For Dermatology LLC's NPI number?

The NPI number for Boulder Valley Center For Dermatology LLC is 1306927231. It was assigned to this organization in the NPPES registry on October 18, 2006.

Where is Boulder Valley Center For Dermatology LLC located?

Boulder Valley Center For Dermatology LLC is located at 1140 W South Boulder Rd Ste 202, Lafayette, CO 80026. The listed phone number is (303) 604-1444.

What is Boulder Valley Center For Dermatology LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Boulder Valley Center For Dermatology LLC enrolled in Medicare?

Yes. Boulder Valley Center For Dermatology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Boulder Valley Center For Dermatology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to Boulder Valley Center For Dermatology LLC. 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 3 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 Center For Dermatology LLC was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.