Dr Jordan Gozdzialski, MD - Medicare Anesthesiology in Boulder, CO

Dr Jordan Gozdzialski, MD is a medicare enrolled "Anesthesiology" physician in Boulder, Colorado. He went to University Of Wisconsin School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Boulder Valley Anesthesiology, Pllc and his current practice location is 4747 Arapahoe Ave, Boulder, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 415-7000.

Dr Jordan Gozdzialski is licensed to practice in Colorado (license number DR.0062308) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083029011.

Contact Information

Dr Jordan Gozdzialski, MD
4747 Arapahoe Ave,
Boulder, CO 80303-1131
(303) 415-7000
Not Available

Map and Direction




Physician's Profile

Full NameDr Jordan Gozdzialski
GenderMale
SpecialityAnesthesiology
Experience10 Years
Location4747 Arapahoe Ave, Boulder, Colorado
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jordan Gozdzialski attended and graduated from University Of Wisconsin School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1083029011
  • Provider Enumeration Date: 06/28/2014
  • Last Update Date: 04/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2466672878
  • Enrollment ID: I20190618001834

Medical Identifiers

Medical identifiers for Dr Jordan Gozdzialski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083029011NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology DR.0062308 (Colorado)Primary
207L00000XAnesthesiology 30797 (Nebraska)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Boulder Community HealthBoulder, COHospital
Uchealth Broomfield HospitalBroomfield, COHospital
Longs Peak HospitalLongmont, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Boulder Valley Anesthesiology, Pllc711383099353

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jordan Gozdzialski allows following entities to bill medicare on his behalf.
Entity NameBoulder Valley Anesthesiology, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962431668
PECOS PAC ID: 7113830993
Enrollment ID: O20031107000375
Entity NameRocky Mountain State Anesthesia Providers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730692054
PECOS PAC ID: 8729349444
Enrollment ID: O20180220003107

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jordan Gozdzialski is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jordan Gozdzialski, MD
Po Box 17389,
Denver, CO 80217-0389

Ph: () -
Dr Jordan Gozdzialski, MD
4747 Arapahoe Ave,
Boulder, CO 80303-1131

Ph: (303) 415-7000

Reviews and Comments


Anesthesiology Doctors in Boulder, CO

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Brian S Gebhardt, M.D.
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Richard Caffrey, MD
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Practice Location: 1100 Balsam Ave, Boulder, CO 80304
Phone: 303-440-2273    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.