Jennifer Leach Gaudiani, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

45795 Issued in CO

Practice address

4700 Hale Pkwy
Suite 380
Denver, CO 80220-4045

Phone

(720) 515-2140

Fax

(720) 408-2541

NPI assigned

Nov 22, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 6, 2024 through Mar 6, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1831172063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 HALE PKWY",
            "address_2": "SUITE 380",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204045",
            "telephone_number": "720-515-2140",
            "fax_number": "720-408-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 HALE PKWY",
            "address_2": "SUITE 380",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204045",
            "telephone_number": "720-515-2140",
            "fax_number": "720-408-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUDIANI",
        "first_name": "JENNIFER",
        "middle_name": "LEACH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "45795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "45795",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Niko Quetish Gatlin
• Katherine Gatseos, MA; LPC
• Emily Joan Gatto, RN, IBCLC
• Evan Daniel Gaubatz, D.M.D.
• Deborah Ann Gauchat, PH.D.
• Jennifer Gaughan, MS, APRN, CPNP-PC
• Anthony M Gaul, D.C.
• Sandra Louise Gauley, RN
• Nicholas Andrew Gault, PHARM.D
• Jaci Anastacia Gauna, RN

• Internal Medicine Physician in Denver, CO
• Providers in Denver, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.