Potomac Square Family Medicine, LLC
NPI 1861001554 · Primary Care Clinic/Center · Boulder, CO
Potomac Square Family Medicine, LLC is a Primary Care Clinic/Center organization in Boulder, CO (NPI 1861001554).
Provider details
- NPI number
- 1861001554
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stephanie Gluchacki, Svp, Compliance(508) 689-9706
Specialties & taxonomies
Ambulatory Health Care Facilities
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs 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
- 2020-07-28
- Last updated
- 2022-04-14
- Certified
- 2022-04-14
Frequently asked questions
- What is Potomac Square Family Medicine, LLC's NPI number?
- Potomac Square Family Medicine, LLC's National Provider Identifier (NPI) is 1861001554, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Potomac Square Family Medicine, LLC?
- Potomac Square Family Medicine, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Potomac Square Family Medicine, LLC located?
- Potomac Square Family Medicine, LLC's practice location on file with NPPES is 4800 Baseline Rd Ste D106, Boulder, CO 80303-2643.
- What is Potomac Square Family Medicine, LLC's phone number?
- The practice phone number listed in the NPPES registry for Potomac Square Family Medicine, LLC is (303) 499-0176.
- Who is the authorized official for Potomac Square Family Medicine, LLC?
- The authorized official listed on Potomac Square Family Medicine, LLC's NPPES record is Stephanie Gluchacki, Svp, Compliance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Potomac Square Family Medicine, LLC's NPI active?
- Yes — Potomac Square Family Medicine, LLC's NPI (1861001554) is active in the NPPES registry as of the last update on 2022-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.