Boulder Valley Gastroenterology Inc.
NPI 1184210312ActiveOrganization· Internal Medicine, Gastroenterology· Longmont, CO
Internal Medicine, Gastroenterology in Longmont, Colorado, registered in NPPES in December 2020, part of Boulder Valley Gastroenterology Inc. The authorized official on file is Daus Mahnke, Md.
Overview
| NPI | 1184210312 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Boulder Valley Gastroenterology Inc. |
| NPI issued | Dec 11, 2020 |
| Last updated in NPPES | Dec 11, 2020 |
| Certified by provider | Dec 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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