SPRUCE STREET INTERNAL MEDICINE
NPI 1942856745
Clinic/Center - Primary Care in Boulder, CO
About Spruce Street Internal Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPRUCE STREET INTERNAL MEDICINE (NPI 1942856745), doing business as Community Medical Assoc Of Bch, is a healthcare organization registered as a primary care in Boulder, Colorado and active in the NPI registry since August 2019. The organization lists William A Munson, Vp, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
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)
Spruce Street Internal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
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
282Medicare enrollment records show 282 clinicians reassign Medicare billing to Spruce Street Internal Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 179 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 27
Nearest to this location (20)
See all 282Source: 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 Community Health's NPI number?
The NPI number for Boulder Community Health is 1942856745. It was assigned to this organization in the NPPES registry on August 16, 2019. The provider is doing business as Community Medical Assoc of BCH. The provider is also known as Spruce Street Internal Medicine.
Where is Boulder Community Health located?
Boulder Community Health is located at 2575 Spruce St, Boulder, CO 80302. The listed phone number is (303) 415-3875.
What is Boulder Community Health's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Boulder Community Health enrolled in Medicare?
Yes. Boulder Community Health is registered in the Medicare PECOS enrollment system.
When is Boulder Community Health'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 March 31, 2027. 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 Boulder Community Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 282 clinicians in 27 Medicare specialties reassign their Medicare billing to Boulder Community Health. 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 (51), Family Practice (38) and Physical Therapist in Private Practice (35). Of these, 2 practice at this address and 179 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 Community Health was last updated on July 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Spruce Street Internal Medicine · NPI 1942856745
Primary Care organization in Boulder, Colorado. Organization record, active in the CMS NPPES registry since August 16, 2019.
## Identity
- **NPI:** 1942856745 (Entity type: Organization)
- **Enumerated:** August 16, 2019
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Boulder Community Health
- **Also known as:** Community Medical Assoc of BCH (Doing Business As)
- **Organization subpart:** Yes (part of Boulder Community Health)
- **Authorized official:** William Munson, VP, CFO
## Practice location
- **Address:** 2575 SPRUCE ST, Boulder, CO 80302-3806
- **Phone:** (303) 415-3875 · **Fax:** (303) 449-3112
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Colorado, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 282 clinicians in 27 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (51), Family Practice (38), Physical Therapist in Private Practice (35); 2 practice at this address and 179 within 10 miles; [full list](https://npiprofile.com/npi/1942856745/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 5, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1942856745) · Data from the CMS NPPES public registry.