BOULDER VALLEY ASTHMA & ALLERGY CLINICS, PC
NPI 1952522997
Specialist in Boulder, CO

Active since May 01, 2007
3950 BROADWAY ST, BOULDER, CO 80304(303) 234-1067(303) 232-2967 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 10, 2020, May 21, 2020, Dec 15, 2016 (3 updates tracked since 2016).

About Boulder Valley Asthma & Allergy Clinics, Pc NPPES

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

BOULDER VALLEY ASTHMA & ALLERGY CLINICS, PC (NPI 1952522997) is a healthcare organization registered as a specialist in Boulder, Colorado and active in the NPI registry since May 2007. The organization lists Mark David Menich, Physician, as its authorized official.

NPPES Registry Identity

NPI1952522997
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBOULDER VALLEY ASTHMA & ALLERGY CLINICS, PC
Location Address3950 BROADWAY STBoulder, CO 80304-1104
Mailing Address1746 Cole Blvd Ste 320Lakewood, CO 80401-3208 · (303) 234-1067 · Fax (303) 232-2967
Fax(303) 232-2967
Organization SubpartNo
Authorized OfficialMark David MenichPhysician · (303) 234-1067
Enumeration DateMay 1, 2007
Last NPPES UpdateJune 10, 20203 updates tracked since enumeration
NPPES CertifiedJune 10, 2020
✔ NPI 1952522997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3950 BROADWAY ST, Boulder, CO 80304

Other Identifiers 1

Medicaid04006102CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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)

Boulder Valley Asthma & Allergy Clinics, Pc 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.

StateEnrollment IDDue date
StateColoradoEnrollment IDO20051013001064Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Boulder Valley Asthma & Allergy Clinics, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

Allergy/Immunology10
Nurse Practitioner1

Clinicians, nearest first (11)

Allergy/Immunology
NPI 1417983438
3950 BROADWAY ST BOULDER VALLEY ASTHMA AND ALLERGY CLINICS
Boulder, CO 80304
(303) 444-5995
✔ PECOS✔ Accepts MedicareSame address
Allergy/Immunology
NPI 1902806391
1746 COLE BLVD SUITE 320
Lakewood, CO 80401
(303) 234-1067
✔ PECOS22 mi
Allergy/Immunology
NPI 1487093514
1746 COLE BLVD STE 320
Lakewood, CO 80401
(303) 234-1067
✔ PECOS✔ Accepts Medicare22 mi
Allergy/Immunology
NPI 1235105628
1746 COLE BLVD STE 320
Lakewood, CO 80401
(303) 234-1067
✔ PECOS22 mi
Allergy/Immunology
NPI 1396127833
1746 COLE BLVD STE 320
Lakewood, CO 80401
(303) 234-1067
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1720683113
1746 COLE BLVD
Lakewood, CO 80401
(443) 388-3948
✔ PECOS✔ Accepts Medicare22 mi
Allergy/Immunology
NPI 1720472699
1746 COLE BLVD STE 320
Lakewood, CO 80401
(303) 234-1067
✔ PECOS✔ Accepts Medicare22 mi
Allergy/Immunology
NPI 1417916545
1746 COLE BLVD STE 320
Lakewood, CO 80401
(303) 234-1067
✔ PECOS✔ Accepts Medicare22 mi
Allergy/Immunology
NPI 1275897001
1746 COLE BLVD STE 320
Lakewood, CO 80401
(303) 234-1067
✔ PECOS✔ Accepts Medicare22 mi
Allergy/Immunology
NPI 1295735694
1746 COLE BLVD SUITE 320
Lakewood, CO 80401
(303) 234-1067
✔ PECOS✔ Accepts Medicare22 mi
Allergy/Immunology
NPI 1346551991
2112 E 38TH ST
Davenport, IA 52807
(563) 359-0324
✔ PECOS✔ Accepts Medicare779 mi

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 Valley Asthma & Allergy Clinics, PC's NPI number?

The NPI number for Boulder Valley Asthma & Allergy Clinics, PC is 1952522997. It was assigned to this organization in the NPPES registry on May 1, 2007.

Where is Boulder Valley Asthma & Allergy Clinics, PC located?

Boulder Valley Asthma & Allergy Clinics, PC is located at 3950 Broadway St, Boulder, CO 80304. The listed phone number is (303) 234-1067.

What is Boulder Valley Asthma & Allergy Clinics, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Boulder Valley Asthma & Allergy Clinics, PC enrolled in Medicare?

Yes. Boulder Valley Asthma & Allergy Clinics, PC is registered in the Medicare PECOS enrollment system.

When is Boulder Valley Asthma & Allergy Clinics, PC'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 Boulder Valley Asthma & Allergy Clinics, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Boulder Valley Asthma & Allergy Clinics, PC. 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 Allergy/Immunology (10) and Nurse Practitioner (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Boulder Valley Asthma & Allergy Clinics, PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Boulder Valley Asthma & Allergy Clinics, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Boulder Valley Asthma & Allergy Clinics, PC was last updated on June 10, 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.