MARK DAVID MENICH MD NPI 1417983438

NPI Information

  • NPI: 1417983438
  • Provider Name: MARK DAVID MENICH, MD
  • Classification: Allergy & Immunology - 207KA0200X
  • Specialization: Allergy
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3950 BROADWAY ST
    BOULDER VALLEY ASTHMA AND ALLERGY CLINICS
    BOULDER, CO
    ZIP 80304
  • Phone: (303) 444-5995

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NPI Details

Mark David Menich, MD is an allergy allergy immunology in Boulder, CO with 39 years of experience. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee Mark David Menich, MD NPI is 1417983438. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:1987

The provider's business location address is:

3950 BROADWAY ST
BOULDER VALLEY ASTHMA AND ALLERGY CLINICS
BOULDER, CO
ZIP 80304-104
Phone: (303) 444-5995
Fax: (303) 443-5030

The NPI 1417983438 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Test for allergy using allergenic extract (HCPCS:95004)
  • Professional service for multiple injections of allergen (HCPCS:95117)
  • Professional service for single injection of allergen (HCPCS:95115)
  • Test for allergy using allergenic extract injected into skin (HCPCS:95024)
  • Test to measure rate of airflow (HCPCS:94375)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 6/23/2006 and was last updated on 12/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine46383COLORADONo
2207RA0201XInternal MedicineAllergy & ImmunologyMD044657EPENNSYLVANIANo
3207KA0200XAllergy & ImmunologyAllergy46383COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
114209764MEDICAIDCOLORADO
2CO305418MEDICARE PINCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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