Active NPI
Austin Livingston
- Urology Physician
- Boulder, CO
National Provider Identifier
1053930123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- DR.0076652
- Practice address
- 4743 Arapahoe Ave Ste 104
Boulder, CO 80303-1123 - Phone
- (303) 444-9000
- NPI assigned
- Apr 9, 2020
- Last updated
- Jul 16, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | DR.0076652 | CO | Primary |
Addresses
Primary practice location
4743 Arapahoe Ave Ste 104
Boulder, CO 80303-1123
Mailing address
10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Medical College of Wisconsin, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10200 Grand Central Ave
Suite 220
Owings Mills, MD 21117-4165
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0076652 | CO | MD | Urology Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1053930123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10200 GRAND CENTRAL AVE STE 220",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211174366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4743 ARAPAHOE AVE STE 104",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031123",
"telephone_number": "303-444-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVINGSTON",
"first_name": "AUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-09",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CO",
"license": "DR.0076652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.