Individual provider Active NPI

Julia Barbara Gajewski, AUD

  • Audiologist
  • Boulder, CO
National Provider Identifier
1871115667
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD.0001144 Issued in CO
Practice address
4745 Arapahoe Ave Ste 130
Boulder, CO 80303-1082
Phone
(303) 443-2772
NPI assigned
May 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD.0001144 CO Primary

Addresses

Primary practice location

4745 Arapahoe Ave Ste 130
Boulder, CO 80303-1082

Mailing address

2542 E Vistoso Commerce Loop
Oro Valley, AZ 85755-9123
Phone (520) 825-4770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230105001316 CO Practitioner - Qualified Audiologist 9133543549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boulder Valley Ear Nose and Throat Associates PCGroup PAC ID 9234128216, 15 clinicians

Practice addresses (Care Compare)

4745 Arapahoe Ave
Boulder, CO 80303-1082
Phone (303) 443-2771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD.0001144COMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Valley Ear Nose & Throat Associates PC CurrentSince Sep 23, 2022 Accepting new patients
Boulder Valley Hearing Associates Inc Current Accepting new patients

Locations

4745 Arapahoe Ave
Ste 130
Boulder, CO 80303
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.

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1871115667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2542 E VISTOSO COMMERCE LOOP",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857559123",
            "telephone_number": "520-825-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 ARAPAHOE AVE STE 130",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031082",
            "telephone_number": "303-443-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAJEWSKI",
        "first_name": "JULIA",
        "middle_name": "BARBARA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "AUD.0001144",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.