Individual provider Active NPI

Drew D. Ritter, MD

  • Orthopaedic Surgery Physician
  • Pueblo, CO
National Provider Identifier
1528038890
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
CO26424 Issued in CO
Practice address
3676 Parker Blvd
Suite 390
Pueblo, CO 81008-2210
Phone
(719) 595-7780
Fax
(719) 595-7789
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X CO26424 CO Primary

Addresses

Primary practice location

3676 Parker Blvd
Suite 390
Pueblo, CO 81008-2210

Mailing address

3676 Parker Blvd
Suite 390
Pueblo, CO 81008-2210
Phone (719) 595-7780

Other identifiers 1

IdentifierTypeStateIssuer
01264241MedicaidCO

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
CO26424COMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Bone and Joint Clinic LLC Orthopaedic Surgery PastSince Aug 1, 2001 Accepting new patients

Organizations & group practices 1

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1528038890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3676 PARKER BLVD",
            "address_2": "SUITE 390",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082210",
            "telephone_number": "719-595-7780",
            "fax_number": "719-595-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3676 PARKER BLVD",
            "address_2": "SUITE 390",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082210",
            "telephone_number": "719-595-7780",
            "fax_number": "719-595-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITTER",
        "first_name": "DREW",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "CO26424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01264241",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.