Individual provider Active NPI

Rebecca Ann Ludwig, MD

  • Obstetrics & Gynecology Physician
  • Colorado Springs, CO
National Provider Identifier
1093193609
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DR.0068163 Issued in CO
Practice address
175 S Union Blvd Ste 220
Colorado Springs, CO 80910-3147
Phone
(719) 634-1532
NPI assigned
May 14, 2015
Last updated
Apr 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X DR.0068163 CO Primary
Obstetrics & Gynecology Physician 207V00000X 58212 AZ

Addresses

Primary practice location

175 S Union Blvd Ste 220
Colorado Springs, CO 80910-3147

Mailing address

175 S Union Blvd Ste 220
Colorado Springs, CO 80910-3147
Phone (719) 634-1532

Other practice location 1

6320 W Union Hills Dr Ste A100
Glendale, AZ 85308-1099
Phone (623) 233-1300

Other practice location 2

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-4344

Other practice location 3

6316 W Union Hills Dr
Glendale, AZ 85308-1001
Phone (623) 233-1300 ext. 62323

Other identifiers 1

IdentifierTypeStateIssuer
569401MedicaidAZ

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
I20220330003033 CO Practitioner - Obstetrics/Gynecology 1153694062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Saint Louis University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

175 S Union Blvd
Suite 220 Uchmg Printer Park OBGYN
Colorado Springs, CO 80910-3147
Phone (719) 364-1532

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0068163COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Apr 25, 2022 Accepting new patients
Poudre Valley Medical Group, LLC Obstetrics & Gynecology CurrentSince Apr 25, 2022 Accepting new patients
Uch-MHS Past Accepting new patients
Fetal and Women's Center of Arizona, LLC Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

175 S Union Blvd
Ste 220
Colorado Springs, CO 80910
Phone (719) 364-1532

175 S Union Blvd
Ste 345
Colorado Springs, CO 80910
Phone (719) 471-7158

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1093193609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S UNION BLVD STE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103147",
            "telephone_number": "719-634-1532",
            "fax_number": "719-634-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S UNION BLVD STE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103147",
            "telephone_number": "719-634-1532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6320 W Union Hills Dr Ste A100",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853081099",
            "country_code": "US",
            "telephone_number": "623-233-1300",
            "fax_number": "623-233-1313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 E McDowell Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062612",
            "country_code": "US",
            "telephone_number": "602-839-4344",
            "fax_number": "602-839-2359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6316 W Union Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853081001",
            "country_code": "US",
            "telephone_number": "623-233-1300 x62323",
            "fax_number": "623-213-1313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUDWIG",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "DR.0068163",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "58212",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "569401",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.