ALPINE SURGICAL LLC
NPI 1396939203
Surgery in Boulder, CO
About Alpine Surgical Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALPINE SURGICAL LLC (NPI 1396939203) is a healthcare organization registered as a surgery in Boulder, Colorado and active in the NPI registry since September 2007. The organization lists Richard J Fox, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alpine Surgical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Alpine Surgical LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Alpine Surgical LLC's NPI number?
The NPI number for Alpine Surgical LLC is 1396939203. It was assigned to this organization in the NPPES registry on September 4, 2007.
Where is Alpine Surgical LLC located?
Alpine Surgical LLC is located at 4743 Arapahoe Ave Suite 102, Boulder, CO 80303. The listed phone number is (303) 449-3642.
What is Alpine Surgical LLC's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Alpine Surgical LLC enrolled in Medicare?
Yes. Alpine Surgical LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Alpine Surgical LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in General Surgery, reassign their Medicare billing to Alpine Surgical 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Alpine Surgical LLC was last updated on February 19, 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.
# Alpine Surgical Llc · NPI 1396939203
Surgery organization in Boulder, Colorado. Organization record, active in the CMS NPPES registry since September 4, 2007.
## Identity
- **NPI:** 1396939203 (Entity type: Organization)
- **Enumerated:** September 4, 2007
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Organization subpart:** No
- **Authorized official:** Richard Fox, OWNER
## Practice location
- **Address:** 4743 ARAPAHOE AVE, SUITE 102, Boulder, CO 80303-1123
- **Phone:** (303) 449-3642
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (General Surgery) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 19, 2020
- **Other identifiers:** Medicaid 29954061 (CO); Medicaid 59501383 (CO); Other ALA60580
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Source: [NPI Profile](https://npiprofile.com/npi/1396939203) · Data from the CMS NPPES public registry.