NPIMap

Individual provider Active NPI

Benjamin R Ruckman, D.O.

  • Hospitalist Physician
  • Fort Collins, CO
National Provider Identifier
1780945964
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
DR.0053866 Issued in CO
Practice address
2637 Midpoint Dr Ste B
Fort Collins, CO 80525-4408
Phone
(970) 488-1640
NPI assigned
Jun 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X DR.0053866 CO Primary
Internal Medicine Physician 207R00000X DR.0053866 CO

Addresses

Primary practice location

2637 Midpoint Dr Ste B
Fort Collins, CO 80525-4408

Mailing address

2637 Midpoint Dr Ste B
Fort Collins, CO 80525-4408
Phone (970) 488-1666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150904001795 CO Practitioner - HospitalistPractitioner - Internal Medicine 6507005485 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of Colorado School of Medicine, Denver, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Colorado Hospitalists Professional LLCGroup PAC ID 8325147507, 85 clinicians

Practice addresses (Care Compare)

1024 S Lemay Ave
Poudre Valley Hospital
Fort Collins, CO 80524-3929
Phone (970) 495-7142

Hospital & facility affiliations

  • Pathways Hospice Hospice, Fort Collins, CO, CCN 061516
  • Medical Center of the Rockies Hospital, Loveland, CO, CCN 060119
  • Poudre Valley Hospital Hospital, Fort Collins, CO, CCN 060010
  • Uchealth Greeley Hospital Hospital, Greeley, CO, CCN 060131

Merit-based Incentive Payment System (MIPS)

Final score
94.23 of 100Reported as group
Quality
87
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DR.0053866COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Hospice Internal Medicine Current Accepting new patients
Northern Colorado Hospitalists Professional LLC Hospitalist CurrentSince Sep 15, 2015 Accepting new patients
Pathways Hospice CurrentSince Aug 26, 2023 Accepting new patients
Pathways Hospice Internal Medicine CurrentSince Aug 26, 2023 Accepting new patients
Poudre Valley Health Care Inc. Past Accepting new patients
Uchealth Greeley Hospital Past Accepting new patients
Medical Center of the Rockies Past Accepting new patients

Locations

8289 E Lowry Blvd
Denver, CO 80230
Phone (303) 321-2828

1236 E Elizabeth St
Ste 3
Fort Collins, CO 80524
Phone (970) 488-1666

305 Carpenter Rd
Fort Collins, CO 80525
Phone (970) 663-3500

2637 Midpoint Dr
Ste B
Fort Collins, CO 80525
Phone (970) 488-1640

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

317 Carpenter Rd
Fort Collins, CO 80525
Phone (970) 663-3500

6767 29th St
Greeley, CO 80634
Phone (970) 652-2000

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

Organizations & group practices 7

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.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1780945964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 MIDPOINT DR STE B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254408",
            "telephone_number": "970-488-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 MIDPOINT DR STE B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254408",
            "telephone_number": "970-488-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKMAN",
        "first_name": "BENJAMIN",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "DR.0053866",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0053866",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.