Chad J Prusmack, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Practice address

10103 Ridgegate Pkwy
Suite 306
Lone Tree, CO 80124-5520

Phone

(303) 225-8120

Fax

(303) 225-8130

NPI assigned

Sep 22, 2006

Last updated

Jan 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: chad.prusmack@hca3.eclinicaldirectplus.com

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.

• Resilience Surgical LLC

  • Neurological Surgery Physician
  • Englewood, CO
  • NPI 1306385752
  NPD (past) Authorized official
• Arapahoe Surgery Center., LLC

  dba SurgCenter on Drycreek

  • Ambulatory Surgical Clinic/Center
  • Englewood, CO
  • NPI 1912235961
  NPD (past)
• Healthone Clinic Services Neurosciences LLC

  • Clinic/Center
  • Denver, CO
  • NPI 1235336173

  Neurological Surgery

  NPD (past)
• Triangle Neurosurgery, PA

  • Neurological Surgery Physician
  • Raleigh, NC
  • NPI 1477560001
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1396844346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PKWY",
            "address_2": "SUITE 306",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245520",
            "telephone_number": "303-225-8120",
            "fax_number": "303-225-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PKWY",
            "address_2": "SUITE 306",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245520",
            "telephone_number": "303-225-8120",
            "fax_number": "303-225-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUSMACK",
        "first_name": "CHAD",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61127230",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priority Medical Care, LLC
• Kathleen Pritzl, AU.D.
• Professional Oversight Consultants
• Matthew Provost, RN
• Prucha Counseling LLC
• Wojciech Henryk Przylecki, M.D.
• Mary Silverman Pugh, NNP
• Lindsay Puhalla
• Benson Pulikkottil, MD
• Pulmonary Health Group Inc.

• Neurological Surgery Physician in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Neurological Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.