David Rushworth, M.D., PH.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

DR.0069620 Issued in CO

Practice address

555 Rivergate LN Ste B1-102
Durango, CO 81301-7470

Phone

(970) 844-2865

Fax

(970) 837-3111

NPI assigned

Mar 30, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 8, 2023 through Mar 8, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Four Corners Center for Neurology Specialty

  • Neurology Physician
  • Durango, CO
  • NPI 1558150250
  NPD Authorized official

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1548655459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6348",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874996348",
            "telephone_number": "970-844-2865",
            "fax_number": "970-837-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 RIVERGATE LN STE B1-102",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017470",
            "telephone_number": "970-844-2865",
            "fax_number": "970-837-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSHWORTH",
        "first_name": "DAVID",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "DR.0069620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ruckman, APN
• Elizabeth Blair Ruder, OTR/L
• Victor C Ruggiero
• Darcy Marie Rumberger Denegre
• Jennifer Anne Rupp, MD
• Russ Pool Psychotherapy, LLC
• Susan T Russo, APN
• Ryan Naffziger, M.D., P.C.
• Ryan W. Whitman Family & Cosmetic Dentistry, PLLC
• Andrea L Ryan, DO

• Neurology Physician in Durango, CO
• Providers in Durango, CO by specialty
• Neurology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.