Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark David Menich, MD

Individual provider Allergy Physician · NPI 1417983438

Mark David Menich, MD is an Allergy/Immunology in Boulder, Colorado. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1988, 38 years ago. Practices with Boulder Valley Asthma and Allergy Clinics PC, a 9-clinician group and accepts Medicare assignment. Licensed in Colorado and Pennsylvania.

Years since qualifying
38
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
CO, PA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3950 Broadway St Boulder Valley Asthma And Allergy Clinics
Boulder, CO 80304-1104
Phone: (303) 444-5995
Fax: (303) 443-5030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy Physician (primary) Taxonomy 207KA0200X · Licence 46383 (CO)
Internal Medicine Physician Taxonomy 207R00000X · Licence 46383 (CO)
Allergy & Immunology (Internal Medicine) Physician Taxonomy 207RA0201X · Licence MD044657E (PA)

Record details

NPI number1417983438
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 23, 2006
Last updated in NPPESDecember 30, 2015
Mailing address3950 Broadway St, Boulder Valley Asthma And Allergy Clinics, Boulder, CO 80304-1104

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyALLERGY/IMMUNOLOGY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 1988 (38 years in practice)
Group practice Boulder Valley Asthma And Allergy Clinics Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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