Individual provider Active NPI

Michael R. Ragsdale, MD

  • Internal Medicine Physician
  • Lakewood, CO
National Provider Identifier
1477513646
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36033 Issued in CO
Practice address
2419 S Chase LN
Lakewood, CO 80227
Phone
(303) 988-5827
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36033 CO Primary

Addresses

Primary practice location

2419 S Chase LN
Lakewood, CO 80227

Mailing address

PO Box 21150
Boulder, CO 80308-4150
Phone (303) 546-9158

Other practice location 1

4608 W 36th Ave
Denver, CO 80212-2009
Phone (303) 379-9371

Other identifiers 2

IdentifierTypeStateIssuer
P01016884OtherCORR MEDICARE
15709736MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K8343TXMDFamily Medicine Physician
36033COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Care of Colorado, PC PastSince Sep 1, 2010 Accepting new patients
Physician Housecalls LLC Internal Medicine PastSince Aug 19, 2013 Accepting new patients
Inpatient Consultants of Colorado, PC Internal Medicine Past Accepting new patients
Mobile Physician Network, LLC PastSince Dec 5, 2015 Accepting new patients
Inpatient Consultants of Colorado PC Internal Medicine Past Accepting new patients

Interoperability endpoints

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

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1477513646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21150",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803084150",
            "telephone_number": "303-546-9158",
            "fax_number": "303-546-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 S CHASE LN",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80227",
            "telephone_number": "303-988-5827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4608 W 36th Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802122009",
            "country_code": "US",
            "telephone_number": "303-379-9371",
            "fax_number": "303-284-4082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAGSDALE",
        "first_name": "MICHAEL",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "36033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01016884",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15709736",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.