Individual provider Active NPI

David Gatof, M.D.

  • Gastroenterology Physician
  • Longmont, CO
National Provider Identifier
1881613305
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
41714 Issued in CO
Practice address
1551 Professional LN Unit 290
Longmont, CO 80501-6970
Phone
(303) 604-5000
Fax
(720) 890-0364
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 41714 CO Primary

Addresses

Primary practice location

1551 Professional LN Unit 290
Longmont, CO 80501-6970

Mailing address

382 S Arthur Ave
Louisville, CO 80027-3094
Phone (303) 604-5000

Other identifiers 3

IdentifierTypeStateIssuer
GAA65869OtherCOBCBS
P00245836OtherCORAILROAD MEDICARE
09275762MedicaidCO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040122000327 CO Practitioner - Gastroenterology 0345142279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Florida College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boulder Valley Gastroenterology Inc.Group PAC ID 4688577174, 33 clinicians

Practice addresses (Care Compare)

1755 48TH St
Suite 100
Boulder, CO 80301-2712
Phone (303) 604-5000

Hospital & facility affiliations

  • Boulder Community Health Hospital, Boulder, CO, CCN 060027
  • Good Samaritan Medical Center LLC Hospital, Lafayette, CO, CCN 060116
  • Longs Peak Hospital Hospital, Longmont, CO, CCN 060128

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy168
Upper gastrointestinal (GI) endoscopy for acid reflux109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41714COMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Valley Gastroenterology Inc. Gastroenterology Current Accepting new patients
Boulder Valley Gastroenterology Inc. Gastroenterology CurrentSince Jul 15, 2004 Accepting new patients
Boulder Valley Gastroenterology Inc. Gastroenterology CurrentSince Jul 15, 2004 Accepting new patients
Northglenn Endoscopy Center LLC Past Accepting new patients

Locations

1755 48th St
Ste 100
Boulder, CO 80301
Phone (720) 932-7714

1755 48th St
Boulder, CO 80301
Phone (303) 494-5263

16677 Lowell Blvd
Ste 200
Broomfield, CO 80023

16677 Lowell Blvd
Broomfield, CO 80023
Phone (303) 415-4045

1830 N Franklin St
Ste 220
Denver, CO 80218

1960 N Ogden St
Denver, CO 80218
Phone (303) 318-2500

1000 W South Boulder Rd
Ste 200
Lafayette, CO 80026
Phone (303) 604-4664

13952 Denver West Pkwy
Lakewood, CO 80401
Phone (303) 271-1112

1551 Professional Ln
Unit 290
Longmont, CO 80501

382 S Arthur Ave
Unit 140
Louisville, CO 80027

382 S Arthur Ave
Unit 100
Louisville, CO 80027

382 S Arthur Ave
Louisville, CO 80027

11900 Grant St
Northglenn, CO 80233
Phone (303) 812-5095

Interoperability endpoints

  • Direct secure messaging: d.gatof@gastrorockies.directbygreenway.com

Organizations & group practices 4

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.

Hospital & facility affiliations 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1881613305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 S ARTHUR AVE",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800273094",
            "telephone_number": "303-604-5000",
            "fax_number": "720-890-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 PROFESSIONAL LN UNIT 290",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016970",
            "telephone_number": "303-604-5000",
            "fax_number": "720-890-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATOF",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "41714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "GAA65869",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00245836",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09275762",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.