NICHOLAS GAJKOWSKI MD
NPI 1992408561
Internal Medicine in Riverton, UT

Q: What is Nicholas Gajkowski's NPI number?

The NPI number for Nicholas Gajkowski is 1992408561. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Q: What is Nicholas Gajkowski's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since March 23, 2023PECOS Enrolled

3723 W 12600 S STE 430, RIVERTON, UT 84065(801) 285-4200 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 5, 2026, Mar 23, 2023 (2 updates tracked since 2023).

On this page

About Nicholas Gajkowski Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS GAJKOWSKI MD (NPI 1992408561) is an individual internal medicine provider in Riverton, Utah, licensed in Utah (14086957-1205) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Slc, and is a graduate of Ohio State University College Of Medicine (2023).

NPPES Registry Identity

NPI1992408561

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameNICHOLAS GAJKOWSKICredential: MD

Location Address3723 W 12600 S STE 430Riverton, UT 84065-7310

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128

Phone(801) 285-4200

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 2023

Enumeration DateMarch 23, 2023

Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration

NPPES CertifiedAugust 5, 2026

✔ NPI 1992408561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in UT · 14086957-1205

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3723 W 12600 S STE 430, Riverton, UT 84065

Open in Google Maps ↗

Secondary Practice Location 1

Location 11250 E 3900 S Ste 260Slc, UT 84124-1371 · Phone (801) 265-2000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Gajkowski Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315301058

PECOS Enrollment IDI20260904002193

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Gajkowski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc

0.6 mi

Emergency Medicine

12473 S MINUTEMAN DR
Draper, UT 84020

Reassigned Medicare billing, Utah enrollment
3,691 clinicians in this Medicare group

NPI 1467878256 (801) 495-7970

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMIE CAMILLE BARKER NP

Nurse Practitioner