Tracy L Klugger, ST – Speech-Language Pathologist

Key facts

NPI: 1104945203
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: 242-000335 (IL)
Practice address: 12605 E 16TH Ave
Aurora, CO 80045-2545
Phone: (720) 848-0000
Fax: (309) 672-4569
NPI assigned: Mar 28, 2007
Sex: Female
Sole proprietor: No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

University Physicians Incorporated Internal Medicine Physician · Aurora, CO · NPI 1962461889

Medicare reassignment NPD CO · OTOLARYNGOLOGY
University Physicians, Incorporated Sports Medicine (Orthopaedic Surgery) Physician · Denver, CO · NPI 1275045049

NPD

Medicare Care Compare profile

Specialty: Qualified Speech Language Pathologist
Education: Other, 2006
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: University Physicians Incorporated (3,189 clinicians)

Practice addresses (Care Compare)

13123 E 16TH Ave
Aurora, CO 80045-7106
Phone (720) 777-1234

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CO

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20190719000450	CO	Practitioner - Qualified Speech Language Pathologist	4082940697	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
242-000335	IL	MD	Speech-Language Pathologist

Practice roles

Organization	Specialty	Status	New patients
University Physicians, Incorporated		Current since Jul 1, 2019	Accepting new patients
University Physicians Incorporated	Otolaryngology	Current since Jul 1, 2019	Accepting new patients

Locations

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

Dept 1061
Denver, CO 80256

1500 Park Central Dr
Ste 501
Highlands Ranch, CO 80129
Phone (720) 516-5000

1500 Park Central Dr
Littleton, CO 80129
Phone (720) 516-1000

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	242-000335	IL	Yes

Addresses

Primary practice location

12605 E 16TH Ave
Aurora, CO 80045-2545

Mailing address

PO Box 110429
Aurora, CO 80042-0429
Phone (303) 493-7000

Other providers in Aurora, CO

All providers in Aurora, CO · Speech-Language Pathologist in Colorado

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.