Individual provider Active NPI

Frank B Wydra, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Aurora, CO
National Provider Identifier
1467895623
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A152934 Issued in CA
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

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191023002903 CO Practitioner - Orthopedic Surgery 9638310824 Reassigns benefits to 1 organization

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
Orthopedic Centers of Colorado LLCGroup PAC ID 2365714540, 327 clinicians

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 Hospital, Denver, CO, CCN 060032

Merit-based Incentive Payment System (MIPS)

Final score
43.24 of 100Reported as group
Quality
73.53
Promoting interoperability
0
Improvement activities
0
Cost
70.6

Procedures performed for Medicare patients

ProcedureNumber 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

LicenseStateTypeSpecialty
A152934CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Centers of Colorado, LLC Sports Medicine CurrentSince Sep 16, 2019 Accepting new patients
Orthopedic Centers of Colorado, LLC Sports Medicine CurrentSince Sep 16, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.