BOULDER CITY SURGICAL GROUP
NPI 1619739117
General Acute Care Hospital - Critical Access in Boulder City, NV
About Boulder City Surgical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOULDER CITY SURGICAL GROUP (NPI 1619739117) is a healthcare organization registered as a critical access in Boulder City, Nevada and active in the NPI registry since January 2024. The organization lists Douglas B Lewis, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 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)
Boulder City Surgical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Boulder City Surgical Group, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 City Hospital Inc.'s NPI number?
The NPI number for Boulder City Hospital Inc. is 1619739117. It was assigned to this organization in the NPPES registry on January 29, 2024. The provider is doing business as Boulder City Surgical Group.
Where is Boulder City Hospital Inc. located?
Boulder City Hospital Inc. is located at 999 Adams Blvd, Boulder City, NV 89005. The listed phone number is (702) 294-5750.
What is Boulder City Hospital Inc.'s specialty?
The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.
Is Boulder City Hospital Inc. enrolled in Medicare?
Yes. Boulder City Hospital Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Boulder City Hospital Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 5 Medicare specialties reassign their Medicare billing to Boulder City Hospital Inc.. 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 Nurse Practitioner (4), Clinical Social Worker (1) and General Surgery (1). Of these, 1 practice at this address and 2 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 City Hospital Inc. was last updated on February 14, 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.
# Boulder City Surgical Group · NPI 1619739117
Critical Access organization in Boulder City, Nevada. Organization record, active in the CMS NPPES registry since January 29, 2024.
## Identity
- **NPI:** 1619739117 (Entity type: Organization)
- **Enumerated:** January 29, 2024
- **Primary specialty:** General Acute Care Hospital - Critical Access · taxonomy 282NC0060X
- **Legal business name:** Boulder City Hospital Inc.
- **Organization subpart:** Yes (part of Boulder City Hospital Inc)
- **Authorized official:** Douglas Lewis, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 999 ADAMS BLVD, Boulder City, NV 89005-2244
- **Phone:** (702) 294-5750
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Clinical Social Worker (1), General Surgery (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1619739117) · Data from the CMS NPPES public registry.