NPIMap

Individual provider Active NPI

Cezary Antoni Dobija, M.D.

  • Internal Medicine Physician
  • Lafayette, CO
National Provider Identifier
1639151459
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
37214 Issued in CO
Practice address
1000 W South Boulder Rd
Ste. 214
Lafayette, CO 80026-2752
Phone
(303) 604-6669
Fax
(303) 661-9496
NPI assigned
Nov 17, 2005
Last updated
Nov 9, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 37214 CO Primary

Addresses

Primary practice location

1000 W South Boulder Rd
Ste. 214
Lafayette, CO 80026-2752

Mailing address

5450 Western Ave
Suite B
Boulder, CO 80301-2709
Phone (303) 415-4325

Other identifiers 1

IdentifierTypeStateIssuer
01372143MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100609000538 CO Practitioner - Internal Medicine 0840320305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boulder Community HealthGroup PAC ID 6800707233, 260 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

1000 W S Boulder Rd
Suite 110
Lafayette, CO 80026-2753
Phone (303) 415-4355

22 S Adams St
Denver, CO 80209-2908
Phone (303) 321-2452

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37214COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Community Health CurrentSince Oct 1, 2003 Accepting new patients
Boulder Community Health CurrentSince Oct 1, 2003 Accepting new patients
Boulder Community Health Current Accepting new patients
Boulder Ekg Internal Medicine Past Accepting new patients
Boulder Community Health Past Accepting new patients
Boulder Community Health PastSince Aug 1, 2019 Accepting new patients

Locations

1001 North St
#B
Boulder, CO 80304
Phone (303) 442-8840

1100 Balsam Ave
Boulder, CO 80304
Phone (303) 415-7000

1755 48th St
Ste 200
Boulder, CO 80301
Phone (303) 415-7450

5450 Western Ave
Ste B
Boulder, CO 80301

1000 W South Boulder Rd
Ste 110
Lafayette, CO 80026
Phone (303) 415-4355

1000 W South Boulder Rd
Ste 214
Lafayette, CO 80026
Phone (303) 415-4325

Organizations & group practices 7

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.

Hospital & facility affiliations 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1639151459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 WESTERN AVE",
            "address_2": "SUITE B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012709",
            "telephone_number": "303-415-4325",
            "fax_number": "303-661-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W SOUTH BOULDER RD",
            "address_2": "STE. 214",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262752",
            "telephone_number": "303-604-6669",
            "fax_number": "303-661-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBIJA",
        "first_name": "CEZARY",
        "middle_name": "ANTONI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "37214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01372143",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

Verify at the official NPI Registry.