Boulder Valley Center for Dermatology LLC
NPI 1063018000ActiveOrganization· Dermatology· Boulder, CO
Dermatology in Boulder, Colorado, registered in NPPES in December 2020. The authorized official on file is Sadie Nealy, Assistant Billing Manager.
Overview
| NPI | 1063018000 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 7, 2020 |
| Last updated in NPPES | May 13, 2024 |
| Certified by provider | Dec 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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