John Conrad Rudersdorf, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

DR.0055461 Issued in CO

Practice address

10350 Dransfeldt Rd
Suite 100
Parker, CO 80134-9673

Phone

(303) 805-4312

NPI assigned

Jul 6, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Psychiatry

Education

Creighton University School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Arapahoe Mental Health Center IncGroup PAC ID 7315850708, 126 clinicians

Practice addresses (Care Compare)

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.

• Arapahoe Mental Health Center, Inc

  dba AllHealth Network

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Parker, CO
  • NPI 1437763968
  Medicare reassignment Care Compare group NPD
• Arapahoe Mental Health Center, Inc

  dba AllHealth Network

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Centennial, CO
  • NPI 1386243392
  NPD
• Arapahoe Mental Health Center, Inc

  • Substance Abuse Rehabilitation Facility
  • Watkins, CO
  • NPI 1710868609
  NPD

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

{
    "created_epoch": "1215302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1871756353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 INVERNESS DR W",
            "address_2": "SUITE 200",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801125095",
            "telephone_number": "303-779-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 DRANSFELDT RD",
            "address_2": "SUITE 100",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349673",
            "telephone_number": "303-805-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDERSDORF",
        "first_name": "JOHN",
        "middle_name": "CONRAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-06",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2008014001",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CO",
            "license": "DR.0055461",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR.0055461",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley Allan Rosenberg, MD
• Michael E Rossi, PHARMD
• Karen Diane Royal, NP-C
• Kayleigh Royce
• Paul Dean Rozeboom, MD
• Kurt Rumold
• Running Stream Counseling Service, PC (Running Creek Counseling)
• Running Stream Counseling Services, PC (Running Creek Counseling)
• Nicoleta Rus, MD
• Jared Rutkowski

• Child & Adolescent Psychiatry Physician in Parker, CO
• Providers in Parker, CO by specialty
• Child & Adolescent Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.

Verify at the official NPI Registry.