ROARING FORK SURGICAL ASSOCIATES PROF LLC – Surgery Physician, NPI 1447308465

ROARING FORK SURGICAL ASSOCIATES PROF LLC is a healthcare provider. based in Glenwood springs, Colorado. specializing in Surgery Physician. The organization holds a License No. 80.05611.1 (CO). The NPI Number for ROARING FORK SURGICAL ASSOCIATES PROF LLC is 1447308465

Main info

Organization
Name
ROARING FORK SURGICAL ASSOCIATES PROF LLC
NPI
1447308465
Phone
(970) 945-6533
Address
1906 BLAKE AVE
Authorized Official
DR. BRAD NICHOL GENERAL SURGEON MD
Enumeration Date
8 January 2007
Last Update Date
21 February 2018
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for ROARING FORK SURGICAL ASSOCIATES PROF LLC

  • Valley View Hospital, 1906, Blake Avenue, Glenwood Springs, Garfield County, Colorado, 81601, United States

    GLENWOOD SPRINGS, CO 816014227

    Phone: (970) 945-6533

    Fax: (970) 945-3945

    Mailing address matches the actual address.

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: 2004-09-23

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Revalidation scheduled

Earliest CMS due date is 2026-09-30 (106 days away).

Enrollment records

1

Earliest due date

2026-09-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040923001247OClinic/Group PracticeCO2026-09-30

What to do next

  • Monitor the published due date as it approaches.
  • Plan to revalidate in PECOS within the window CMS allows before the due date.
  • Verify the date on the CMS Revalidation Lookup Tool before submitting.

Verify on CMS Revalidation Lookup Tool

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 81601)

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Reviews

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Frequently asked questions

Can I use this page to confirm ROARING FORK SURGICAL ASSOCIATES PROF LLC's NPI?
Yes. ROARING FORK SURGICAL ASSOCIATES PROF LLC is listed with NPI 1447308465 in the public NPI dataset.
Does the file indicate ROARING FORK SURGICAL ASSOCIATES PROF LLC is practicing under active NPI?
Directory data currently reports ROARING FORK SURGICAL ASSOCIATES PROF LLC as active.
What taxonomy line describes ROARING FORK SURGICAL ASSOCIATES PROF LLC?
For research purposes, treat ROARING FORK SURGICAL ASSOCIATES PROF LLC as Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for ROARING FORK SURGICAL ASSOCIATES PROF LLC?
ROARING FORK SURGICAL ASSOCIATES PROF LLC's geographic hint is Glenwood Springs, Colorado in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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