Individual provider Active NPI

Ryan Muchowski, D.P.M

  • Foot Surgery Podiatrist
  • Parker, CO
National Provider Identifier
1265838668
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
POD.0000887 Issued in CO
Practice address
19284 Cottonwood Dr Ste 201B
Parker, CO 80138-3825
Phone
(720) 822-0735
NPI assigned
Nov 12, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N006717-1 NY
Foot Surgery Podiatrist 213ES0131X POD.0000887 CO Primary

Addresses

Primary practice location

19284 Cottonwood Dr Ste 201B
Parker, CO 80138-3825

Mailing address

11545 Solar Cir Apt 5305
Parker, CO 80134-7354
Phone (573) 356-4491

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220103000197 CO Practitioner - Podiatry 7517252638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19284 Cottonwood Dr
Suite 201B
Parker, CO 80138-3825
Phone (720) 822-0735

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue64
Removal of skin lesions14
Removal of nail tissue199
Removal or shaving of skin growth27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006717-1NYMDFoot & Ankle Surgery Podiatrist
POD.0000887COMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Foot and Ankle Sports Medicine, LLC CurrentSince Dec 1, 2021 Accepting new patients
Jonathan Shalot, DPM Foot & Ankle Surgery Past Accepting new patients
Dr. Gerald a. Esmond, DPM,PC Foot Surgery Past Accepting new patients

Locations

19284 Cottonwood Dr
Ste 201B
Parker, CO 80138
Phone (720) 822-0735

9399 Crown Crest Blvd
Ste 210
Parker, CO 80138
Phone (720) 822-0735

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJIABD/Endpoint/DJIABD

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1265838668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11545 SOLAR CIR APT 5305",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347354",
            "telephone_number": "573-356-4491",
            "fax_number": "844-810-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19284 COTTONWOOD DR STE 201B",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801383825",
            "telephone_number": "720-822-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCHOWSKI",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-12",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006717-1",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CO",
            "license": "POD.0000887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.