Active NPI
Donald A Maschka, M.D.
- Otolaryngology Physician
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 31558
- Practice address
- 4745 Arapahoe Ave
Suite 130
Boulder, CO 80303-1080 - Phone
- (303) 443-2771
- Fax
- (303) 443-2784
- NPI assigned
- Sep 23, 2005
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 31558 | IA | Primary |
Addresses
Primary practice location
4745 Arapahoe Ave
Suite 130
Boulder, CO 80303-1080
Mailing address
4745 Arapahoe Ave
Suite 130
Boulder, CO 80303-1080
Phone (303) 443-2771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0148718 | Medicaid | IA |
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
- Otolaryngology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4745 Arapahoe Ave
Suite 130
Boulder, CO 80303-1082
Phone (303) 443-2771
Hospital & facility affiliations
- Boulder Community Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31558 | IA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulder Valley Ear Nose & Throat Associates PC | Otolaryngology | Current | Accepting new patients |
| Hanger Prosthetics & Orthotics West Inc. | Past | Accepting new patients |
Locations
4745 Arapahoe Ave
Ste 130
Boulder, CO 80303
Phone (303) 443-2771
300 Exempla Cir
Ste 210
Lafayette, CO 80026
Phone (303) 443-2771
588 N US Highway 287
Ste 204
Lafayette, CO 80026
Phone (303) 443-2771
300 Exempla Cir
Ste 270
Lafayette, CO 80026
Phone (303) 443-2771
90 Health Park Dr
Ste 220
Louisville, CO 80027
Phone (303) 443-2771
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.
-
- Otolaryngology Physician
- Boulder, CO
- NPI 1194948026
-
- Prosthetic/Orthotic Supplier
- Wailuku, HI
- NPI 1801695234
Hospital & facility affiliations 34
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Boulder, CO
- NPI 1093357907
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653350400000",
"number": "1316933484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4745 ARAPAHOE AVE",
"address_2": "SUITE 130",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031080",
"telephone_number": "303-443-2771",
"fax_number": "303-443-2784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4745 ARAPAHOE AVE",
"address_2": "SUITE 130",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031080",
"telephone_number": "303-443-2771",
"fax_number": "303-443-2784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASCHKA",
"first_name": "DONALD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IA",
"license": "31558",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0148718",
"state": "IA"
}
],
"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 May 24, 2022; 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.