SUSAN BOACKLE CHILDRESS (MD) – Rheumatology Physician, NPI 1235229915
Rheumatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
129 RHEUMATOLOGY in CO
Provider Addresses for SUSAN BOACKLE CHILDRESS (MD)
2459 S CHASE LN
LAKEWOOD, CO 802273902
Phone:
Type: Mailing
3601 S PENNSYLVANIA ST STE B
ENGLEWOOD, CO 801133753
Phone: (720) 262-2462
Type: Location
PO BOX 110429
AURORA, CO 800420429
Phone: (303) 493-7000
Type: Mailing
University of Colorado Hospital, 12605, East 16th Avenue, Aurora, Adams County, Colorado, 80045, United States
AURORA, CO 800452545
Phone: (720) 848-0000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-05-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040802000706 | I | Rheumatology | CO | TBD |
| I20230626000211 | I | Rheumatology | AZ | TBD |
| I20240529001175 | I | Rheumatology | ME | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80227)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AZ | |
| Nurse Practitioner | AZ | |
| Family Practice | AZ | |
| - | AZ | |
| Physician Assistant | NC | |
| Hospitalist, Family Practice | AZ | |
| Internal Medicine | IN | |
| Nurse Practitioner | AZ | |
| Family Practice | KY | |
| Internal Medicine | WI |
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