Active NPI
Charles J Ruzkowski, MD
- Gastroenterology Physician
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 39991
- Practice address
- 1600 N Grand Ave
Suite 150
Pueblo, CO 81003-2749 - Phone
- (719) 595-7680
- Fax
- (719) 595-7687
- NPI assigned
- Sep 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD-23100 | HI | |
| Gastroenterology Physician | 207RG0100X | 39991 | CO | Primary |
Addresses
Primary practice location
1600 N Grand Ave
Suite 150
Pueblo, CO 81003-2749
Mailing address
PO Box 560825
Denver, CO 80256-0825
Phone (719) 595-7580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90023030 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, NM, HI, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Chicago College of Medicine and Surgery, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Powell County Memorial Hospital Association Inc.Hilo Benioff Medical CenterKau Hospital
Practice addresses (Care Compare)
1100 Hollenback
Deer Lodge, MT 59722
1100 Hollenbeck LN
Deer Lodge, MT 59722-2317
Phone (406) 846-1722
1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3000
1600 N Grand Ave
Suite 440
Pueblo, CO 81003-2760
Phone (719) 543-3500
514 Pia LN
Deer Lodge, MT 59722-9421
78 -6831 Alii Dr
Suite 328
Kailua Kona, HI 96740-4408
Phone (808) 747-8321
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 62 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 42 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39991 | CO | MD | Gastroenterology Physician |
| MD-23100 | HI | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Ali'I Health Center | Current | Accepting new patients | |
| Kau Hospital | Current | Accepting new patients | |
| Alii Health Center | Current | Accepting new patients | |
| Kau Hospital | Current | Accepting new patients | |
| Banner Health Physicians Colorado LLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Banner Health Physicians Colorado LLC | Current | Accepting new patients | |
| Powell County Memorial Hospital Association Inc | Current | Accepting new patients | |
| Kau Hospital | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Powell County Memorial Hospital Association Inc | Current | Accepting new patients | |
| Digestive Diseases Specialists of Colorado,LLC | Gastroenterology | Current | Accepting new patients |
| Banner Health Physicians Colorado LLC | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| The Iowa Clinic, PC | Past | Accepting new patients | |
| Alii Health Center | Past | Accepting new patients | |
| The Iowa Clinic PC | Gastroenterology | Past | Accepting new patients |
Locations
1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121
2010 16th St
Ste A
Greeley, CO 80631
Phone (970) 378-4475
1801 16th St
Greeley, CO 80631
Phone (970) 352-4121
1600 N Grand Ave
Ste 440
Pueblo, CO 81003
Phone (719) 543-3500
1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000
78-6831 Alii Dr
Ste 418
Kailua Kona, HI 96740
Phone (808) 747-8725
78-6831 Alii Dr
Ste 422
Kailua Kona, HI 96740
Phone (808) 747-8321
78-6831 Alii Dr
Ste 328
Kailua Kona, HI 96740
Phone (808) 747-8321
1100 Hollenbeck Ln
Deer Lodge, MT 59722
Phone (406) 846-1722
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360
4705 Montgomery Blvd NE
Ste 201
Albuquerque, NM 87109
Phone (505) 727-6550
Interoperability endpoints
- cruzkowski21333@hhsc.direct-ci.com
Organizations & group practices 18
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.
-
- Gastroenterology Physician
- Pueblo, CO
- NPI 1033135330
-
- Multi-Specialty Clinic/Center
- Kailua Kona, HI
- NPI 1285107698
-
- Multi-Specialty Clinic/Center
- Greeley, CO
- NPI 1073899134
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1962584060
-
- Rural Health Clinic/Center
- Pahala, HI
- NPI 1144304338
-
- Critical Access Hospital
- Deer Lodge, MT
- NPI 1275560617
-
- Family Medicine Physician
- Deer Lodge, MT
- NPI 1841414026
-
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
- Multi-Specialty Clinic/Center
- Fort Morgan, CO
- NPI 1922366830
-
- Ambulatory Surgical Clinic/Center
- Kailua Kona, HI
- NPI 1144949967
-
- Multi-Specialty Clinic/Center
- Torrington, WY
- NPI 1215375688
-
- Anesthesiology Physician
- Hilo, HI
- NPI 1235981614
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1780757856
-
- General Acute Care Hospital
- Kealakekua, HI
- NPI 1952332991
-
- Critical Access Hospital
- Deer Lodge, MT
- NPI 1275560617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1669576757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 560825",
"city": "DENVER",
"state": "CO",
"postal_code": "802560825",
"telephone_number": "719-595-7580",
"fax_number": "719-545-0176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N GRAND AVE",
"address_2": "SUITE 150",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032749",
"telephone_number": "719-595-7680",
"fax_number": "719-595-7687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUZKOWSKI",
"first_name": "CHARLES",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-11",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "HI",
"license": "MD-23100",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CO",
"license": "39991",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90023030",
"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 May 1, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.