John H. Rudersdorf, M.D.

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

19484 Issued in CO

Practice address

5200 DTC Pkwy Ste 400
Greenwood Village, CO 80111-2719

Phone

(303) 745-0000

Fax

(303) 773-3101

NPI assigned

Mar 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• KND Development 59, LLC

  • Hospitalist Physician
  • Aurora, CO
  • NPI 1447747654
  Medicare reassignment NPD
• Critical Care & Pulmonary Consultants, PC

  • Hospitalist Physician
  • Greenwood Village, CO
  • NPI 1033135520

  Critical Care Medicine

  NPD
• KND Development 59, LLC

  • Hospitalist Physician
  • Broken Arrow, OK
  • NPI 1922950823
  NPD
• Philippe G Lopez MD PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Greenwood Village, CO
  • NPI 1871526897
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1730158262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S 48TH ST",
            "address_2": "SUITE 800",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061225",
            "telephone_number": "402-483-8600",
            "fax_number": "402-483-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 DTC PKWY STE 400",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112719",
            "telephone_number": "303-745-0000",
            "fax_number": "303-773-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDERSDORF",
        "first_name": "JOHN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CO",
            "license": "19484",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NE",
            "license": "12882",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CO",
            "license": "19484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "290008584",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47080292200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori C Rossi, MD
• Brooke Elissa Rothstein, MD
• Karen Rouge
• Jacob Tillman Rovig, CAA
• Natalie Rubin
• Sierra Ruettgers
• Ashley K Ruiz, LMT, CLT.
• Mary Lynn Ruma-Smith, R.D.H.,O.M.
• Barry H. Rumack
• Bonnie Runco

• Critical Care Medicine (Internal Medicine) Physician in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Critical Care Medicine (Internal Medicine) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.