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ADVANCED UROLOGY, PLLC
NPI 1629628201
Urology in Longmont, CO

Active since September 16, 2019CLIA Certified · 2 labs
2030 MOUNTAIN VIEW AVE STE 420, LONGMONT, CO 80501(303) 776-9400 Get Directions Write a Review

NPPES record last updated: March 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 8, 2025, Mar 5, 2024, Sep 16, 2019 (3 updates tracked since 2019).

About Advanced Urology, Pllc NPPES

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

ADVANCED UROLOGY, PLLC (NPI 1629628201) is a healthcare organization registered as an urology in Longmont, Colorado and active in the NPI registry since September 2019. The organization holds 2 active CLIA laboratory certificates and lists Emily Simpson, Provider Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1629628201
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameADVANCED UROLOGY, PLLC
Location Address2030 MOUNTAIN VIEW AVE STE 420Longmont, CO 80501-3182
Mailing Address10200 Grand Central Ave Ste 220Owings Mills, MD 21117-4366 · (443) 738-2889
Phone(303) 776-9400
Organization SubpartNo
Authorized OfficialEmily SimpsonProvider Enrollment Manager · (720) 381-2805
Enumeration DateSeptember 16, 2019
Last NPPES UpdateMarch 8, 20253 updates tracked since enumeration
NPPES CertifiedMarch 8, 2025
✔ NPI 1629628201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

2030 MOUNTAIN VIEW AVE STE 420, Longmont, CO 80501
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 06D0933988

Advanced Urology, PLLC · Longmont, CO
Active · expires Jun 23, 2027
CLIA Number06D0933988
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2025
Certificate Expiration DateJune 23, 2027
Laboratory DirectorDr. John Paddack
Laboratory Phone(303) 776-9400
Laboratory LocationAdvanced Urology, PLLC2030 Mountain View Ave, Suite 420, Longmont, CO 80501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 06D2157403

Advanced Urology, PLLC Dba - Colorado Urology · Louisville, CO
Active · expires Nov 5, 2026
CLIA Number06D2157403
Laboratory TypePhysician Office
Certificate Effective DateNovember 6, 2024
Certificate Expiration DateNovember 5, 2026
Laboratory DirectorDr. Charles C. Anderson
Laboratory Phone(303) 776-9400
Laboratory LocationAdvanced Urology, PLLC Dba - Colorado Urology3 Superior Drive, Suite 350, Louisville, CO 80027
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CONOR KUCZKA PA-C
Physician Assistant
2030 MOUNTAIN VIEW AVE STE 420
LONGMONT, CO 80501
Boulder County (303) 776-9400
ALICE ELIZABETH TIBBETTS PA-C
Physician Assistant
2030 MOUNTAIN VIEW AVE STE 420
LONGMONT, CO 80501
Boulder County (303) 776-9400
DR. JOHN MICHAEL PADDACK M.D.
Urology
2030 MOUNTAIN VIEW AVE STE 420
LONGMONT, CO 80501
Boulder County (303) 776-9400

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 Advanced Urology, PLLC's NPI number?

The NPI number for Advanced Urology, PLLC is 1629628201. It was assigned to this organization in the NPPES registry on September 16, 2019.

Where is Advanced Urology, PLLC located?

Advanced Urology, PLLC is located at 2030 Mountain View Ave Ste 420, Longmont, CO 80501. The listed phone number is (303) 776-9400.

What is Advanced Urology, PLLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Advanced Urology, PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Advanced Urology, PLLC was last updated on March 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.