Active NPI 1841392487 Individual Practitioner Male Practitioner

Dr. Sameh H Melouk , MD

Specialist • Boulder, CO

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Sameh Melouk, MD is a certified Specialist practicing in Boulder, CO. With approximately 34 years of clinical experience since graduating from University Of Oklahoma College Of Medicine in 1992, Dr. Melouk delivers high-quality medical care to the local community at 4743 ARAPAHOE AVE.

Dr. Melouk is affiliated with Advanced Urology Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, automated urinalysis test, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4743 Arapahoe Ave
Suite 104

Boulder, CO 803031113

Telephone 3034449000

Fax 3034449073

Associated Practice Facility / Clinic

🏢 Charles Jones Md Pc Facility NPI 1376557967

Medicare Profile & Education

Medical School

University Of Oklahoma College Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Boulder, CO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs -4.5 yrs vs City Avg

City Avg: 38.5 Yrs

State Avg: 33.7 Yrs

Regional Practice Density

46 Specialists

Practicing in Boulder, CO (1204 Statewide)

Telehealth Adoption Rate

4.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

84.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Melouk (34 Years) 34 Yrs

Boulder Specialty Average (38.5 Years) 38.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	628	389	$41.76	$16.27
81003 Automated urinalysis test	507	334	$5.00	$2.17
51798 Ultrasound measurement of bladder capacity after voiding	349	261	$61.73	$11.63
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	347	55	$160.95	$62.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	328	223	$305.70	$128.62
99213 Established patient office or other outpatient visit, typically 15 minutes	215	176	$269.42	$91.47
99426 Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month	98	16	$157.02	$62.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$406.65	$167.92
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	79	32	$122.34	$48.26
52000 Diagnostic exam of bladder and urethra using an endoscope	66	60	$441.68	$78.15
51741 Electronic assessment of bladder emptying	37	37	$197.81	$6.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	29	$424.67	$181.47
51797 Insertion of device into abdomen with pressure and urine flow rate study	31	31	$649.23	$187.42
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	31	31	$410.68	$31.37
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	31	31	$1004.19	$361.34
76872 Ultrasound scan of pelvic region through rectum	27	27	$329.67	$31.99
52000 Diagnostic exam of bladder and urethra using an endoscope	21	18	$441.86	$244.23
55700 Biopsy of prostate gland	20	20	$638.45	$127.36
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	20	20	$323.90	$29.53
74420 Imaging of urinary tract	19	16	$330.16	$23.92
76775 Limited ultrasound scan behind abdominal cavity	17	17	$268.82	$60.61
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	12	$5588.07	$416.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$264.57	$112.22
52648 Laser vaporization of prostate including control of bleeding using an endoscope	13	13	$7845.38	$684.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	578	350	$5.00	$2.19
51798 Ultrasound measurement of bladder capacity after voiding	373	265	$61.00	$11.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	355	223	$301.00	$130.76
99213 Established patient office or other outpatient visit, typically 15 minutes	262	206	$266.00	$92.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$400.00	$169.82
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	93	39	$159.00	$63.85
52000 Diagnostic exam of bladder and urethra using an endoscope	85	76	$435.00	$80.19
51741 Electronic assessment of bladder emptying	59	59	$195.00	$7.24
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	45	45	$990.00	$385.14
51797 Insertion of device into abdomen with pressure and urine flow rate study	44	44	$640.00	$204.23
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	44	44	$405.00	$33.15
76872 Ultrasound scan of pelvic region through rectum	41	41	$325.00	$32.66
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	27	21	$121.00	$48.52
74420 Imaging of urinary tract	27	21	$325.00	$24.71
76775 Limited ultrasound scan behind abdominal cavity	25	21	$265.00	$61.81
52000 Diagnostic exam of bladder and urethra using an endoscope	25	24	$435.00	$250.30
99426 Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month	25	13	$155.00	$62.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	24	$418.00	$183.34
55700 Biopsy of prostate gland	21	20	$575.00	$129.42
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	20	$320.00	$30.72
52356 Crushing of stone of ureter with insertion of stent using an endoscope	20	16	$5397.00	$421.76
52648 Laser vaporization of prostate including control of bleeding using an endoscope	18	18	$7750.00	$697.94
55899 Other procedure on male genital system	15	15	$840.00	$77.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$261.00	$114.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	613	363	$5.00	$2.22
51798 Ultrasound measurement of bladder capacity after voiding	366	276	$61.00	$11.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	291	193	$301.00	$131.01
99213 Established patient office or other outpatient visit, typically 15 minutes	291	228	$266.00	$93.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$400.00	$171.47
52000 Diagnostic exam of bladder and urethra using an endoscope	60	50	$435.00	$81.08
52000 Diagnostic exam of bladder and urethra using an endoscope	59	58	$435.00	$261.98
51741 Electronic assessment of bladder emptying	49	47	$195.00	$7.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	34	$132.00	$58.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	26	$418.00	$176.80
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	31	31	$840.00	$398.09
51797 Insertion of device into abdomen with pressure and urine flow rate study	31	31	$640.00	$213.54
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	30	30	$405.00	$33.55
76872 Ultrasound scan of pelvic region through rectum	25	25	$325.00	$150.61
55700 Biopsy of prostate gland	22	22	$575.00	$130.42
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	21	$320.00	$31.22
76775 Limited ultrasound scan behind abdominal cavity	19	18	$265.00	$61.38
76872 Ultrasound scan of pelvic region through rectum	18	18	$325.00	$33.20
74420 Imaging of urinary tract	18	13	$325.00	$25.24
55899 Other procedure on male genital system	18	18	$840.00	$54.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$261.00	$115.09
52648 Laser vaporization of prostate including control of bleeding using an endoscope	14	14	$7750.00	$705.12
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	13	$5140.00	$400.60
55700 Biopsy of prostate gland	12	12	$575.00	$255.37
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$320.00	$61.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	718	379	$5.00	$2.23
51798 Ultrasound measurement of bladder capacity after voiding	409	290	$60.80	$10.80
99213 Established patient office or other outpatient visit, typically 15 minutes	390	259	$259.95	$93.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	299	219	$277.70	$132.80
52000 Diagnostic exam of bladder and urethra using an endoscope	118	105	$435.00	$245.42
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	90	15	$425.00	$187.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	82	63	$123.76	$57.50
51741 Electronic assessment of bladder emptying	68	64	$195.00	$7.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$385.00	$167.72
76872 Ultrasound scan of pelvic region through rectum	37	37	$325.00	$143.67
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	34	34	$405.00	$34.31
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	34	34	$840.00	$394.79
51797 Insertion of device into abdomen with pressure and urine flow rate study	34	34	$640.00	$199.79
55899 Other procedure on male genital system	33	33	$840.00	$63.36
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	30	15	$140.00	$34.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$243.23	$112.70
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	24	24	$320.00	$60.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	23	$371.92	$185.25
55700 Biopsy of prostate gland	24	24	$575.00	$261.77
76775 Limited ultrasound scan behind abdominal cavity	22	20	$265.00	$61.42
74420 Imaging of urinary tract	22	18	$325.00	$25.27
52000 Diagnostic exam of bladder and urethra using an endoscope	21	21	$435.00	$79.08
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	11	$5140.00	$417.93
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	13	$620.00	$328.00
52648 Laser vaporization of prostate including control of bleeding using an endoscope	13	13	$7750.00	$703.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	669	349	$5.00	$2.23
99213 Established patient office or other outpatient visit, typically 15 minutes	376	234	$135.00	$76.97
51798 Ultrasound measurement of bladder capacity after voiding	353	251	$60.00	$10.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	303	216	$194.88	$111.56
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	120	17	$425.00	$208.63
52000 Diagnostic exam of bladder and urethra using an endoscope	118	102	$435.00	$219.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	86	64	$80.00	$46.80
51741 Electronic assessment of bladder emptying	49	48	$195.00	$7.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$195.00	$110.34
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	40	17	$140.00	$32.93
76872 Ultrasound scan of pelvic region through rectum	31	31	$325.00	$150.92
53899 Other procedure on urinary system	30	30	$840.00	$74.04
51702 Simple insertion of temporary bladder tube	29	12	$145.00	$64.10
76775 Limited ultrasound scan behind abdominal cavity	27	22	$265.00	$61.06
55700 Biopsy of prostate gland	16	16	$575.00	$260.87
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	16	$320.00	$59.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$295.00	$169.26
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	13	13	$405.00	$35.10
52648 Laser vaporization of prostate including control of bleeding using an endoscope	13	13	$7750.00	$724.44
51797 Insertion of device into abdomen with pressure and urine flow rate study	13	13	$640.00	$170.37
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	13	13	$840.00	$368.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	820	403	$4.35	$2.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	489	309	$162.43	$110.29
51798 Ultrasound measurement of bladder capacity after voiding	432	303	$43.02	$13.10
99213 Established patient office or other outpatient visit, typically 15 minutes	243	180	$111.86	$75.31
52000 Diagnostic exam of bladder and urethra using an endoscope	143	113	$349.23	$190.77
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	114	16	$362.93	$223.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	39	$57.47	$45.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	56	50	$218.43	$147.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$240.32	$167.11
76872 Ultrasound scan of pelvic region through rectum	53	53	$249.30	$128.12
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	47	12	$3564.06	$984.99
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	42	17	$109.08	$31.50
51741 Electronic assessment of bladder emptying	31	31	$108.02	$9.08
55700 Biopsy of prostate gland	26	26	$478.08	$257.30
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$278.07	$197.23
74420 Imaging of urinary tract	20	19	$230.51	$25.81
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	18	18	$480.53	$273.51
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	16	16	$470.82	$330.31
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	16	$320.00	$58.10
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	13	$3460.68	$433.41
51797 Insertion of device into abdomen with pressure and urine flow rate study	13	13	$176.54	$137.07
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	13	13	$96.53	$34.85
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	12	12	$4759.88	$1311.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$308.95	$204.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	999	510	$3.28	$2.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	546	356	$112.55	$108.20
51798 Ultrasound measurement of bladder capacity after voiding	477	344	$17.79	$16.19
99213 Established patient office or other outpatient visit, typically 15 minutes	329	254	$75.22	$73.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	183	62	$45.92	$44.26
52000 Diagnostic exam of bladder and urethra using an endoscope	166	135	$172.38	$169.75
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	126	15	$246.38	$195.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	118	$174.20	$165.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	63	51	$156.94	$142.83
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	42	42	$72.07	$35.49
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	42	15	$36.67	$28.64
51797 Insertion of device into abdomen with pressure and urine flow rate study	42	42	$118.16	$116.27
51741 Electronic assessment of bladder emptying	40	40	$16.38	$8.07
51702 Simple insertion of temporary bladder tube	37	14	$69.15	$63.91
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	34	34	$331.93	$326.62
74420 Imaging of urinary tract	29	23	$24.13	$17.33
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$184.44	$181.75
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	25	23	$265.37	$241.64
76872 Ultrasound scan of pelvic region through rectum	20	19	$100.21	$98.61
52356 Crushing of stone of ureter with insertion of stent using an endoscope	18	15	$469.30	$413.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	15	$208.04	$204.72
55700 Biopsy of prostate gland	16	16	$260.14	$256.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$123.09	$109.23
52648 Laser vaporization of prostate including control of bleeding using an endoscope	12	12	$1928.72	$714.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	809	423	$3.22	$2.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	440	295	$110.60	$106.61
51798 Ultrasound measurement of bladder capacity after voiding	399	293	$20.94	$19.62
99213 Established patient office or other outpatient visit, typically 15 minutes	276	203	$75.05	$73.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	165	52	$45.02	$43.70
52000 Diagnostic exam of bladder and urethra using an endoscope	140	112	$177.53	$166.60
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	120	13	$237.67	$195.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	78	$170.23	$165.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	30	$152.23	$145.80
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	37	37	$114.87	$35.18
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	37	13	$37.70	$30.78
51797 Insertion of device into abdomen with pressure and urine flow rate study	37	37	$123.07	$113.42
51741 Electronic assessment of bladder emptying	36	36	$24.20	$8.04
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	28	28	$332.28	$319.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$212.83	$203.71
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$217.33	$208.26
81001 Manual urinalysis test with examination using microscope, automated	18	18	$4.31	$4.22
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	17	17	$266.11	$248.07
76872 Ultrasound scan of pelvic region through rectum	16	16	$97.92	$96.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$110.58	$108.92
55700 Biopsy of prostate gland	13	13	$265.66	$250.07
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	13	$556.05	$445.64
52648 Laser vaporization of prostate including control of bleeding using an endoscope	11	11	$2069.05	$710.00

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CO 37284

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.

Hospital & Practice Group Affiliations

Advanced Urology Pllc

32135 Castle Ct, Evergreen, CO 804398006

Phone: 3039852550

Advanced Urology Pllc

10535 Park Meadows Blvd, Lone Tree, CO 801248455

Phone: 3036956106

Advanced Urology Pllc

500 W 144th Ave, Westminster, CO 800239328

Phone: 7202270977

Advanced Urology Pllc

4743 Arapahoe Ave, Boulder, CO 803031123

Phone: 3034449000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Austin Livingston

Urology

NPI 1053930123

Dr. John Kefer , MD PHD

Urology

NPI 1174799837

MDPHD

Ariel Griffin

Physician Assistant

NPI 1801412267

Dr. Henry Dovey , MD

Specialist

NPI 1891897864

Doctor of Medicine (M.D.)

Dr. James Clark , MD

Specialist

NPI 1902908593

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 24, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location June 24, 2014

Registered at 4743 ARAPAHOE AVE, SUITE 104, BOULDER, CO 803031113 (Tel: 3034449000)

📍

Updated Business Mailing Address June 24, 2014

Registered at 4743 ARAPAHOE AVE, SUITE 104, BOULDER, CO 803031113 (Tel: 3034449000)

👤

Provider Name / Credentials Updated June 24, 2014

Recorded as SAMEH MELOUK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2014

Specialist (License #37284 in CO)

🟢

Initial NPI Registration & Enumeration September 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841392487

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 03, 2006

Last Update: June 24, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4743 Arapahoe Ave, Suite 104

Boulder, CO 803031113

Phone: 3034449000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.