Individual provider Active NPI

Natalia Gaulke, D.O.

  • Diagnostic Radiology Physician
  • Boulder, CO
National Provider Identifier
1295054047
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
34.012057 Issued in OH
Practice address
1333 Iris Ave
Boulder, CO 80304-2226
Phone
(937) 723-3248
NPI assigned
May 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 34.012057 OH Primary

Addresses

Primary practice location

1333 Iris Ave
Boulder, CO 80304-2226

Mailing address

405 W Grand Ave
Dayton, OH 45405-7538

Other practice location 1

395 W 12th Ave
Columbus, OH 43210-1267
Phone (614) 293-8315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN, WV, TX4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20180830002236 OH Practitioner - Diagnostic Radiology 8820237415 Reassigns benefits to 10 organizations
I20220603002462 IN Practitioner - Diagnostic Radiology 8820237415 Reassigns benefits to 1 organization
I20260312001999 WV Practitioner - Diagnostic Radiology 8820237415 Reassigns benefits to 2 organizations
I20260415001326 TX Practitioner - Diagnostic Radiology 8820237415 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rocky Vista University College of Osteopathic Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians
Kettering Network Radiologists IncGroup PAC ID 7618960303, 74 clinicians

Practice addresses (Care Compare)

Dayton, OH 45459
Phone (614) 340-7740

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8627

416 E Maumee St
Angola, IN 46703-2015
Phone (260) 667-5136

Hospital & facility affiliations

  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Soin Medical Center Hospital, Beaver Creek, OH, CCN 360360
  • Kettering Health Miamisburg Hospital, Miamisburg, OH, CCN 360239
  • Kettering Health Troy Hospital, Troy, OH, CCN 360368

Merit-based Incentive Payment System (MIPS)

Final score
77.41 of 100Reported as group
Quality
73.46
Improvement activities
40
Cost
73.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Boone Memorial Hospital, Inc CurrentSince Jan 28, 2026 Accepting new patients
Kettering Network Radiologists Inc Diagnostic Radiology CurrentSince Aug 1, 2018 Accepting new patients
Alliance Physicians Inc Current Accepting new patients
Boone Memorial Hospital, Inc CurrentSince Feb 1, 2026 Accepting new patients
Henry County Hospital Inc CurrentSince Oct 31, 2025 Accepting new patients
WRH Physicians, Inc. CurrentSince Nov 17, 2025 Accepting new patients
WRH Physicians, Inc. CurrentSince Nov 17, 2025 Accepting new patients
Boone Memorial Hospital, Inc CurrentSince Jan 28, 2026 Accepting new patients
Osu Radiology LLC Diagnostic Radiology CurrentSince Apr 1, 2026 Accepting new patients
T J Samson Community Hospital CurrentSince Nov 10, 2025 Accepting new patients
Dayton Osteopathic Hospital Past Accepting new patients
Kettering Medical Center Past Accepting new patients

Locations (25 of 61)

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

121 Westfield Dr
Archbold, OH 43502
Phone (419) 445-2015

3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000

3371 Kemp Rd
Beavercreek, OH 45431
Phone (937) 320-3600

2510 Commons Blvd
Beavercreek, OH 45431
Phone (937) 223-2911

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

1023 S Main St
Centerville, OH 45458
Phone (937) 435-1982

395 W 12th Ave
Columbus, OH 43210
Phone (614) 293-8299

395 W 12th Ave
Rm 460
Columbus, OH 43210
Phone (614) 293-8299

L3402
Columbus, OH 43260
Phone (814) 444-1919

3033 State Rd
Ste 101
Cuyahoga Fls, OH 44223
Phone (330) 923-8372

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

101 E Alex Bell Rd
Ste 190
Dayton, OH 45459
Phone (937) 425-4020

165 S Edwin C Moses Blvd
Dayton, OH 45402
Phone (937) 396-8150

1222 S Patterson Blvd
Ste 400
Dayton, OH 45402
Phone (937) 496-2600

6661 Clyo Rd
Dayton, OH 45459
Phone (937) 425-4000

1010 Woodman Dr
Dayton, OH 45432
Phone (937) 252-5500

6438 Wilmington Pike
Dayton, OH 45459
Phone (937) 395-8666

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

7740 Washington Village Dr
Ste 140
Dayton, OH 45459
Phone (937) 439-7420

3095 Dayton Xenia Rd
Ste 100
Dayton, OH 45434
Phone (937) 531-7902

450F Washington Jackson Rd
Eaton, OH 45320
Phone (937) 456-8306

450 Washington Jackson Rd
#F
Eaton, OH 45320
Phone (937) 456-8376

1250 W National Rd
Englewood, OH 45315
Phone (937) 558-3062

1840 Springfield Rd
Fairborn, OH 45324
Phone (937) 523-8780

Interoperability endpoints

  • Direct secure messaging: ngaulke509947@direct.ketteringhealth.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1295054047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W GRAND AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454057538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 IRIS AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803042226",
            "telephone_number": "937-723-3248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 W 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101267",
            "country_code": "US",
            "telephone_number": "614-293-8315",
            "fax_number": "614-293-6935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAULKE",
        "first_name": "NATALIA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-19",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "34.012057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.