SPINE WEST A PROFESSIONAL LLC
NPI 1427091206
Physical Medicine & Rehabilitation in Boulder, CO
About Spine West A Professional Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPINE WEST A PROFESSIONAL LLC (NPI 1427091206), doing business as Advanced Spine & Sports Specialists, Llc, is a healthcare organization registered as a physical medicine & rehabilitation in Boulder, Colorado and active in the NPI registry since June 2006. The organization lists David Rodriguez, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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)
Spine West A Professional Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Spine West A Professional LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
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 Spine West A Professional LLC's NPI number?
The NPI number for Spine West A Professional LLC is 1427091206. It was assigned to this organization in the NPPES registry on June 13, 2006. The provider was formerly known as Advanced Spine & Sports Specialists, LLC.
Where is Spine West A Professional LLC located?
Spine West A Professional LLC is located at 5387 Manhattan Circle Suite 200, Boulder, CO 80303. The listed phone number is (303) 494-7773.
What is Spine West A Professional LLC's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Spine West A Professional LLC enrolled in Medicare?
Yes. Spine West A Professional LLC is registered in the Medicare PECOS enrollment system.
When is Spine West A Professional 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, Clinic/Group Practice) is due for revalidation by November 30, 2026. 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 Spine West A Professional LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Spine West A Professional 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. The largest specialties are Physical Medicine and Rehabilitation (5), Nurse Practitioner (1) and Osteopathic Manipulative Medicine (1). Of these, 4 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 Spine West A Professional LLC was last updated on September 1, 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.