Individual provider Active NPI

Ron Rudawsky

  • Physician Assistant
  • Aurora, CO
National Provider Identifier
1356437305
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0001681 Issued in CO
Practice address
1501 S. Potomac St.
Aurora, CO 80012-5411
Phone
(303) 695-2628
Fax
(303) 306-7753
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1681 CO
Physician Assistant 363A00000X PA.0001681 CO Primary

Addresses

Primary practice location

1501 S. Potomac St.
Aurora, CO 80012-5411

Mailing address

P.O. Box 173862
Denver, CO 80217-3862
Phone (303) 306-7783

Other practice location 1

6895 E Hampden Ave
Denver, CO 80224-3047
Phone (303) 861-7878

Other identifiers 2

IdentifierTypeStateIssuer
P00730991OtherCORAILROAD MEDICARE
71403540MedicaidCO

Other names 1

  • Ron Rudawsky Professional name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080528000373 CO Practitioner - Physician Assistant 3274603600 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Metro Urgent Care LLCGroup PAC ID 8729483912, 6 clinicians

Practice addresses (Care Compare)

98 Wadsworth Blvd
Unit 119
Lakewood, CO 80226-1552
Phone (303) 963-5191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1681COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Afterours Inc CurrentSince Oct 9, 2024 Accepting new patients
West Metro Urgent Care LLC CurrentSince Oct 1, 2025 Accepting new patients
Afterours Inc CurrentSince Oct 9, 2024 Accepting new patients
East Metro Urgent Care LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

3471 N Salida St
Unit 40
Aurora, CO 80011
Phone (303) 562-1797

6895 E Hampden Ave
Denver, CO 80224
Phone (303) 861-7878

98 Wadsworth Blvd
Unit 119
Lakewood, CO 80226
Phone (303) 963-5191

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1356437305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 173862",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802173862",
            "telephone_number": "303-306-7783",
            "fax_number": "303-306-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S. POTOMAC ST.",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125411",
            "telephone_number": "303-695-2628",
            "fax_number": "303-306-7753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6895 E Hampden Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802243047",
            "country_code": "US",
            "telephone_number": "303-861-7878",
            "fax_number": "303-894-8066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDAWSKY",
        "first_name": "RON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "1681",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0001681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00730991",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71403540",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RON",
            "last_name": "RUDAWSKY",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.