Lionel John Gottschalk IV, MD

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

DR. 0055408 Issued in CO

Practice address

4386 Trail Boss Dr
Castle Rock, CO 80104-7512

Phone

(719) 209-8630

Fax

(719) 473-3553

NPI assigned

Apr 28, 2009

Last updated

Nov 24, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Sports Medicine

Education

University of California, San Diego School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22530/brand/1/csg/1/fhir/r4
• Direct secure messaging: lionel.gottschalk.1@22530.direct.athenahealth.com

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.

• L J Gottschalk, LLC

  • Orthopaedic Surgery Physician
  • Castle Rock, CO
  • NPI 1407466238
  Medicare reassignment NPD Authorized official
• Portercare Adventist Health System

  dba Affiliated Ear, Nose & Throat Physicians

  • Otolaryngology Physician
  • Greenwood Village, CO
  • NPI 1760761928
  NPD
• Portercare Adventist Health System

  dba AdventHealth Medical Group Urology at Lakewood

  • Urology Physician
  • Lakewood, CO
  • NPI 1942165626
  NPD
• Portercare Adventist Health System

  dba AdventHealth Medical Group Hospitalists at Porter

  • Hospitalist Physician
  • Denver, CO
  • NPI 1972991867
  NPD

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1427292895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4386 TRAIL BOSS DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047512",
            "telephone_number": "719-209-8630",
            "fax_number": "719-473-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4386 TRAIL BOSS DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047512",
            "telephone_number": "719-209-8630",
            "fax_number": "719-473-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTSCHALK",
        "first_name": "LIONEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-28",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CO",
            "license": "DR. 0055408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Pierce Goodman, D.D.S.
• Kristin Rae Gordon, O.T.R.
• Rachel Gordon
• Chad A Gott, PT, DPT
• Alexis Gotta
• Vanessah Monet Goze
• Sonja Kay Young Grabbe, M.S., CCC-SLP
• Ashley Montan Grable
• Matthew James Graham, D.C.
• Audra Jo Grajeda, OTR

• Sports Medicine (Orthopaedic Surgery) Physician in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.

Verify at the official NPI Registry.