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BOULDER FOOT & ANKLE CENTER, LTD.
NPI 1992085682
Podiatrist - Primary Podiatric Medicine in Las Vegas, NV

Active since August 25, 2011
3150 N TENAYA WAY STE 215, LAS VEGAS, NV 89128(702) 586-4600(866) 409-1683 Get Directions Write a Review

NPPES record last updated: November 3, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Boulder Foot & Ankle Center, Ltd. NPPES

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

BOULDER FOOT & ANKLE CENTER, LTD. (NPI 1992085682) is a healthcare organization registered as a primary podiatric medicine in Las Vegas, Nevada and active in the NPI registry since August 2011. The organization lists Wesley W Lyon, Owner, as its authorized official.

NPPES Registry Identity

NPI1992085682
Entity TypeOrganization
Primary Taxonomy213EP1101X
Legal Business NameBOULDER FOOT & ANKLE CENTER, LTD.
Location Address3150 N TENAYA WAY STE 215Las Vegas, NV 89128-0444
Mailing AddressPo Box 1344Overton, NV 89040-1344 · (702) 586-4600 · Fax (866) 409-1683
Phone(702) 586-4600
Fax(866) 409-1683
Organization SubpartNo
Authorized OfficialWesley W LyonOwner · (702) 397-2207
Enumeration DateAugust 25, 2011
Last NPPES UpdateNovember 3, 2011
✔ NPI 1992085682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in NV · 9807
3150 N TENAYA WAY STE 215, Las Vegas, NV 89128
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Other Identifiers 2

Medicare UPINU77208NV
Medicare NSC3976150002NV

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Boulder Foot & Ankle Center, Ltd. 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.

StateEnrollment IDDue date
StateNevadaEnrollment IDO20111021000200DME · Physician - PodiatryDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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 Foot & Ankle Center, Ltd.'s NPI number?

The NPI number for Boulder Foot & Ankle Center, Ltd. is 1992085682. It was assigned to this organization in the NPPES registry on August 25, 2011.

Where is Boulder Foot & Ankle Center, Ltd. located?

Boulder Foot & Ankle Center, Ltd. is located at 3150 N Tenaya Way Ste 215, Las Vegas, NV 89128. The listed phone number is (702) 586-4600.

What is Boulder Foot & Ankle Center, Ltd.'s specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Boulder Foot & Ankle Center, Ltd. enrolled in Medicare?

Yes. Boulder Foot & Ankle Center, Ltd. is registered in the Medicare PECOS enrollment system.

When is Boulder Foot & Ankle Center, Ltd.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Nevada, Physician - Podiatry) 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.

What insurance does Boulder Foot & Ankle Center, Ltd. accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Boulder Foot & Ankle Center, Ltd. 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 Foot & Ankle Center, Ltd. was last updated on November 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.