Organization provider

AZEAL DERMATOLOGY INSTITUTE, LLC

MOHS-Micrographic Surgery Physician Procedural Dermatology Physician Dermatology Physician Medicare enrolled

AZEAL DERMATOLOGY INSTITUTE, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1003209248, based in Boulder, CO. The organization lists 3 taxonomy classifications, with Dermatology Physician recorded as primary.

Getting there

Here is what surrounds this office in Boulder, based on OpenStreetMap data collected Sep 11, 2026. Parking is available about 392 ft away. The nearest transit stop is 704 ft away, served by Spine Rd & Gunpark Dr. A pharmacy sits 400 ft from the entrance (King Soopers), which helps if you leave with a prescription. If you arrive early, there is a coffee shop 958 ft away.

5365 SPINE RD SUITE C, Boulder, CO 80301 Open in Google Maps →

Getting here and what is nearby

Transit Spine Rd & Lookout Rd 28 ft ~1 min
Transit Spine Rd & Lookout Rd 50 ft ~1 min
Convenience ShortStop 174 ft ~1 min

6510 Lookout Road, Boulder 80301

Mo-Su 06:00-22:00

+1-303-530-2202

Website

Directions in Google Maps →

Gas station Shell 182 ft ~1 min

6510 Lookout Road, Boulder 80301

24/7

+1-303-530-2202

Website

Directions in Google Maps →

Parking 243 ft ~1 min
Coffee Human Kind Coffee House 347 ft ~2 min

6558 Lookout Road, Boulder 80301

Mo-Sa 06:30-16:00; Su 07:00-14:00

+1-303-527-1000

Website

Directions in Google Maps →

Parking 378 ft ~2 min
Parking 392 ft ~2 min
Restaurant Snarf's 378 ft ~2 min

6562 Lookout Road, Boulder 80301

Mo-Su 11:00-20:00

Website

Directions in Google Maps →

Pharmacy King Soopers 400 ft ~2 min

Mo-Fr 10:00-21:00; Sa 10:00-18:00; Su 10:00-17:00

Website

Directions in Google Maps →

Restaurant Burger King 421 ft ~2 min

5320 Spine Road, Boulder 80301

Mo-Sa 06:00-20:00; Su 07:00-20:00

+1 303-581-9040

Website

Directions in Google Maps →

Grocery King Soopers 455 ft ~2 min

Spine Road, 80301

Mo-Su 06:00-23:00

Website

Directions in Google Maps →

Coffee Ampersand Coffee Roasters 530 ft ~3 min

6560 Odell Place

Mo-Sa 07:00-17:00; Su 08:00-15:00

Website

Directions in Google Maps →

Transit Spine Rd & Gunpark Dr 704 ft ~3 min
Restaurant Subway 707 ft ~3 min

5280 Spine Road, Boulder 80301

Mo-Th 09:00-20:00; Fr 09:00-21:00; Sa 10:00-21:00; Su 10:00-20:00

+1 303-530-0995

Website

Directions in Google Maps →

Coffee Aperitivo 958 ft ~4 min

5530 Spine Road, Boulder 80301-3536

+1-303-530-1516

Website

Directions in Google Maps →

Hotel Hampton Inn & Suites 981 ft ~4 min

6333 Lookout Road, Boulder 80301

+1 303-530-3300

Website

Directions in Google Maps →

OpenStreetMap via Overpass · ODbL 800 m radius Updated Sep 11, 2026

Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
6204157621
Enrollment ID
O20150610000752

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Dermatology covers

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. NUCC Health Care Provider Taxonomy, code 207N00000X
Allopathic & Osteopathic Physicians Dermatology

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207ND0101X MOHS-Micrographic Surgery Physician MOHS-Micrographic Surgery
207NS0135X Procedural Dermatology Physician Procedural Dermatology
207N00000X Dermatology Physician primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1003209248 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateMar 12, 2015
Last updatedSep 15, 2015
StatusActive
Practice address 5365 SPINE RD
SUITE C
Boulder, CO 80301
(303) 530-9325
Mailing address PO BOX 7446
Loveland, CO 80537
Other identifiers 77885376 · Medicaid (CO)
This record was last updated on Sep 15, 2015, roughly 11 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1003209248 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 0 3 2 0 9 2 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 0 3 4 0 9 2 8

Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1003209248?
NPI 1003209248 is the National Provider Identifier assigned to AZEAL DERMATOLOGY INSTITUTE, LLC in Boulder, CO. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Dermatology Physician cover?
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of…
How do I contact AZEAL DERMATOLOGY INSTITUTE, LLC?
The phone number on file with NPPES is (303) 530-9325, last updated Sep 15, 2015. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does AZEAL DERMATOLOGY INSTITUTE, LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Where do I park when visiting AZEAL DERMATOLOGY INSTITUTE, LLC?
Parking is about 392 ft from the office. The closest transit stop is 704 ft away, on Spine Rd & Gunpark Dr. Distances are straight-line estimates from OpenStreetMap, so walking routes may be slightly longer.
Is NPI 1003209248 a valid number?
Yes. 1003209248 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.