Individual provider Active NPI

Rudy Kovachevich, M.D.

  • Orthopaedic Hand Surgery Physician
  • Englewood, CO
National Provider Identifier
1801915350
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
DR51415 Issued in CO
Practice address
601 E Hampden Ave
Suite 500
Englewood, CO 80113-3781
Phone
(303) 744-7078
Fax
(303) 744-0248
NPI assigned
Mar 28, 2007
Last updated
Nov 13, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 49777 MN
Orthopaedic Surgery Physician 207X00000X 01069735A IN
Orthopaedic Hand Surgery Physician 207XS0106X DR51415 CO Primary

Addresses

Primary practice location

601 E Hampden Ave
Suite 500
Englewood, CO 80113-3781

Mailing address

601 E Hampden Ave
Suite 500
Englewood, CO 80113-3781
Phone (303) 744-7078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130221000373 CO Practitioner - Hand Surgery 7911093257 Reassigns benefits to 1 organization
I20250103001530 WY Practitioner - Orthopedic Surgery 7911093257 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hand Surgery
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community HospitalGroup PAC ID 6608784194, 23 clinicians

Practice addresses (Care Compare)

12905 W 40TH Ave
Suite 515
Golden, CO 80401-2794
Phone (303) 665-2603

1411 S Potomac St
350 Coc Arapahoe Sports Medicine and Rehab
Aurora, CO 80012-4543
Phone (303) 695-6060

1411 S Potomac St
Suite 400
Aurora, CO 80012-4540
Phone (303) 695-6060

145 Inverness Dr E
Englewood, CO 80112-5172

1550 S Potomac St
Suite 180
Aurora, CO 80012-5448
Phone (303) 744-7078

625 Albany Ave
Torrington, WY 82240-1530
Phone (307) 532-2107

8101 E Lowry Blvd
Denver, CO 80230-7195
Phone (303) 344-9090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
43.24 of 100Reported as group
Quality
73.53
Promoting interoperability
0
Improvement activities
0
Cost
70.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01069735AINMDOrthopaedic Surgery Physician
DR51415COMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians West LLC CurrentSince Jan 1, 2025 Accepting new patients
Banner Health Physicians West LLC CurrentSince Jan 1, 2025 Accepting new patients
Community Hospital CurrentSince Jan 1, 2025 Accepting new patients
Community Hospital CurrentSince Jan 1, 2025 Accepting new patients
Orthopedic Centers of Colorado, LLC Orthopaedic Surgery CurrentSince Aug 26, 2017 Accepting new patients
Community Hospital Orthopaedic Surgery Current Accepting new patients
Orthopedic Centers of Colorado, LLC Orthopaedic Surgery CurrentSince Aug 26, 2017 Accepting new patients

Locations

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

601 E Hampden Ave
Ste 500
Englewood, CO 80113
Phone (303) 789-5242

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

2000 Campbell Dr
Torrington, WY 82240
Phone (307) 532-4181

625 Albany Ave
Torrington, WY 82240
Phone (307) 347-8801

1106 Big Horn Ave
Worland, WY 82401
Phone (307) 347-3221

Interoperability endpoints

  • Direct secure messaging: rudykovachevich@occllc.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1801915350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E HAMPDEN AVE",
            "address_2": "SUITE 500",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133781",
            "telephone_number": "303-744-7078",
            "fax_number": "303-744-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E HAMPDEN AVE",
            "address_2": "SUITE 500",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133781",
            "telephone_number": "303-744-7078",
            "fax_number": "303-744-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACHEVICH",
        "first_name": "RUDY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "49777",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01069735A",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CO",
            "license": "DR51415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.