Michael L Ruygrok, MD
Individual provider Active NPI Emergency Medicine Physician · Denver, CO
NPI 1487944344 · NPPES record last updated Nov 14, 2014
Key facts
- NPI
- 1487944344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 053563 (CO)
- Practice address
- 777 Bannock St
Denver, CO 80204-4507 - Phone
- (303) 436-7142
- NPI assigned
- Apr 13, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 33
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Colorado School of Medicine, Denver, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Denver Health and Hospital Authority
Practice addresses (Care Compare)
777 Bannock St
Denver, CO 80204-4507
Phone (303) 436-6000
Hospital & facility affiliations
- Denver Health & Hospital Authority
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.65 of 100
- Quality
- 86.65
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.65 of 100
- Quality
- 92.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.02
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.85 of 100
- Quality
- 91.15
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141016001055 | CO | Practitioner - Emergency Medicine | 4183845118 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053563 | CO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver Health and Hospital Authority | Current |
Accepting new patients | |
| Denver Health and Hospital Authority | Current |
Accepting new patients | |
| Institute on Healthcare Directives | Emergency Medicine | Current |
Accepting new patients |
| Premier Emergency Services, Inc | Emergency Medicine | Current |
Accepting new patients |
| Usacs Community Emergency Services of Colorado, Inc. | Emergency Medicine | Current |
Accepting new patients |
| Emergency Professionals of Colorado, PC | Emergency Medicine | Current |
Accepting new patients |
| Usacs Community Emergency Services of Colorado, Inc. | Emergency Medicine | Current | Accepting new patients |
| Premier Emergency Services, Inc | Emergency Medicine | Current |
Accepting new patients |
| Usacs Observation Medicine Services of Colorado Inc. | Emergency Medicine | Current |
Accepting new patients |
| Usacs Observation Medicine Services of Colorado Inc. | Current |
Accepting new patients | |
| Usacs of Colorado, Inc | Emergency Medicine | Current |
Accepting new patients |
| Usacs of Colorado Inc | Emergency Medicine | Current |
Accepting new patients |
| Emergency Professionals of Colorado, PC | Emergency Medicine | Current |
Accepting new patients |
| Usacs Community Emergency Services of Colorado, Inc. | Emergency Medicine | Current |
Accepting new patients |
| East Morgan County Hospital | Past | Accepting new patients |
Locations
16320 W 64th Ave
Arvada, CO 80007
Phone (303) 925-4560
7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199
777 Bannock St
Denver, CO 80204
4943 State Highway 52
Ste 100
Erie, CO 80514
Phone (303) 925-4840
760 Warner Dr
Golden, CO 80401
Phone (303) 925-4360
1801 16th St
Greeley, CO 80631
Phone (970) 352-4121
3280 S Wadsworth Blvd
Lakewood, CO 80227
Phone (303) 649-3620
11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010
7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786
100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000
9949 S Oswego St
Parker, CO 80134
Phone (303) 925-4700
615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322
2551 W 84th Ave
Westminster, CO 80031
Phone (303) 202-1280
Interoperability endpoints
- https://api.platform.athenahealth.com/26368/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 053563 | CO | Yes |
Addresses
Primary practice location
777 Bannock St
Denver, CO 80204-4507
Mailing address
6475 S Ivy CT
Centennial, CO 80111-4311
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51270374 | Medicaid | CO | |
| 024945 | Other | CO | KASIER COMMERCIAL NUMBER |
NPI Registry JSON
{
"created_epoch": "1302652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415923200000",
"number": "1487944344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6475 S IVY CT",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801114311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 BANNOCK ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802044507",
"telephone_number": "303-436-7142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUYGROK",
"first_name": "MICHAEL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-13",
"last_updated": "2014-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "053563",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "51270374",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KASIER COMMERCIAL NUMBER",
"identifier": "024945",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
- Morgan Elizabeth Rutter
- Emily Rutti
- Lanna Christine Ruud
- Edward Ruvins
- Shirley Ann Ruybal
- Stephen Robert Ruyle
- Ashley Nichole Ruz
- Danielle Ruzycki
- Rebecca Rwubusisi
- RX Physical, Inc
All providers in Denver, CO · Emergency Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.