Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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: August 09, 2026.

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

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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 and maintains a secondary practice location in Slc.

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

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

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

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