Active NPI
Frank B Wydra, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- A152934
- Practice address
- 13001 E 17TH PL
Aurora, CO 80045 - Phone
- (303) 724-2974
- Fax
- (303) 724-1593
- NPI assigned
- Apr 8, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | A152934 | CA | Primary |
Addresses
Primary practice location
13001 E 17TH PL
Aurora, CO 80045
Mailing address
100 E 14TH St
Apt 1809
Chicago, IL 60605-2889
Phone (708) 351-3634
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1411 S Potomac St
350 Coc Arapahoe Sports Medicine and Rehab
Aurora, CO 80012-4543
Phone (303) 695-6060
2430 Research Pkwy
Colorado Springs, CO 80920-1093
4700 Hale Pkwy
Suite 330
Denver, CO 80220-4045
Phone (303) 697-7463
4700 Hale Pkwy
Suite 550
Denver, CO 80220-4053
Phone (303) 321-6600
8101 E Lowry Blvd
Denver, CO 80230-7195
Phone (303) 344-9090
Hospital & facility affiliations
- HCA Healthone Rose
Merit-based Incentive Payment System (MIPS)
- Final score
- 43.24 of 100
- Quality
- 73.53
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 70.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A152934 | CA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Centers of Colorado, LLC | Sports Medicine | Current | Accepting new patients |
| Orthopedic Centers of Colorado, LLC | Sports Medicine | Current | Accepting new patients |
Locations
1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134
4700 Hale Pkwy
Ste 550
Denver, CO 80220
Phone (303) 321-6600
8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998
Interoperability endpoints
- frankwydra@occllc.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Denver, CO
- NPI 1801339502
Sports Medicine
-
- Orthopaedic Surgery Physician
- Superior, CO
- NPI 1336870856
Sports Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Denver, CO
- NPI 1023062098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531094400000",
"number": "1467895623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E 14TH ST",
"address_2": "APT 1809",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052889",
"telephone_number": "708-351-3634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13001 E 17TH PL",
"city": "AURORA",
"state": "CO",
"postal_code": "80045",
"telephone_number": "303-724-2974",
"fax_number": "303-724-1593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYDRA",
"first_name": "FRANK",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-08",
"last_updated": "2018-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CA",
"license": "A152934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.