NATHAN RUBALCAVA M.D.
NPI 1801282272
Surgery - Pediatric Surgery in Denver, CO
About Nathan Rubalcava M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NATHAN RUBALCAVA M.D. (NPI 1801282272) is an individual pediatric surgery provider in Denver, Colorado, licensed in Colorado (DR.0075928) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nathan Rubalcava M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Nathan Rubalcava reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Denver, CO 80205
- Reassigned Medicare billing, Colorado enrollment
- 23 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DENVER, CO 80205
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nathan Rubalcava's NPI number?
The NPI number for Nathan Rubalcava is 1801282272. It was assigned to this individual provider in the NPPES registry on April 12, 2015.
Where is Nathan Rubalcava located?
Nathan Rubalcava practices at 2055 N High St Ste 370, Denver, CO 80205. The listed phone number is (303) 839-6001.
What is Nathan Rubalcava's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.
Is Nathan Rubalcava enrolled in Medicare?
Yes. Nathan Rubalcava is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Nathan Rubalcava's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Rubalcava reassigns Medicare benefits to Healthone Clinic Services - Pediatric Specialties LLC (Denver, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathan Rubalcava's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nathan Rubalcava accept?
Health plans from UnitedHealthcare list Nathan Rubalcava as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Nathan Rubalcava was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nathan Rubalcava, M.D. · NPI 1801282272
Pediatric Surgery physician in Denver, Colorado. Individual provider, active in the CMS NPPES registry since April 12, 2015.
## Identity
- **NPI:** 1801282272 (Entity type: Individual)
- **Enumerated:** April 12, 2015
- **Primary specialty:** Surgery - Pediatric Surgery · taxonomy 2086S0120X
- **State license:** DR.0075928 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 2055 N HIGH ST STE 370, Denver, CO 80205-5545
- **Phone:** (303) 839-6001
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Healthone Clinic Services - Pediatric Specialties LLC (NPI 1720293251, Denver, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** August 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1801282272) · Data from the CMS NPPES public registry.