Four Mile Creek Health
NPI 1225854425 · Family Medicine Physician · Boulder, CO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Four Mile Creek Health is a Family Medicine Physician organization in Boulder, CO (NPI 1225854425).
Provider details
- NPI number
- 1225854425
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Radford Fagan, Vice President(720) 792-2852
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-12-03
- Last updated
- 2024-12-03
- Certified
- 2024-12-03
Frequently asked questions
- What is Four Mile Creek Health's NPI number?
- Four Mile Creek Health's National Provider Identifier (NPI) is 1225854425, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Four Mile Creek Health?
- Four Mile Creek Health is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Four Mile Creek Health located?
- Four Mile Creek Health's practice location on file with NPPES is 3434 47th St Ste 225, Boulder, CO 80301-1880.
- What is Four Mile Creek Health's phone number?
- The practice phone number listed in the NPPES registry for Four Mile Creek Health is (703) 850-1533.
- Does Four Mile Creek Health accept Medicare?
- Four Mile Creek Health is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Four Mile Creek Health?
- The authorized official listed on Four Mile Creek Health's NPPES record is Radford Fagan, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Four Mile Creek Health's NPI active?
- Yes — Four Mile Creek Health's NPI (1225854425) is active in the NPPES registry as of the last update on 2024-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.