Individual provider Active NPI

Oscar G Arguello-Rudin, M.D.

  • Specialist
  • Colorado Springs, CO
National Provider Identifier
1164637856
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
21892 Issued in CO
Practice address
715 N Weber St Ste 200
Colorado Springs, CO 80903-1091
Phone
(719) 575-9444
Fax
(719) 575-9888
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 21892 CO Primary

Addresses

Primary practice location

715 N Weber St Ste 200
Colorado Springs, CO 80903-1091

Mailing address

715 N Weber St Ste 200
Colorado Springs, CO 80903-1091
Phone (719) 575-9444

Other identifiers 1

IdentifierTypeStateIssuer
01218924MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21892COMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Masferrer Neurosurgical, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1164637856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N WEBER ST STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031091",
            "telephone_number": "719-575-9444",
            "fax_number": "719-575-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N WEBER ST STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031091",
            "telephone_number": "719-575-9444",
            "fax_number": "719-575-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARGUELLO-RUDIN",
        "first_name": "OSCAR",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "21892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01218924",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.