JOHN CONRAD RUDERSDORF MD
NPI 1871756353
Psychiatry & Neurology - Child & Adolescent Psychiatry in Parker, CO

Active since July 06, 2008PECOS EnrolledAccepts Medicare Assignment
10350 DRANSFELDT RD, SUITE 100, PARKER, CO 80134(303) 805-4312 Get Directions Write a Review

NPPES record last updated: July 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Conrad Rudersdorf Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN CONRAD RUDERSDORF MD (NPI 1871756353) is an individual child & adolescent psychiatry provider in Parker, Colorado, licensed in Colorado (DR.0055461) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (2008).

NPPES Registry Identity

NPI1871756353
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameJOHN CONRAD RUDERSDORFCredential: MD
Location Address10350 DRANSFELDT RD, SUITE 100Parker, CO 80134-9673
Mailing Address155 Inverness Dr W, Suite 200Centennial, CO 80112-5095 · (303) 779-9676
Sole ProprietorYes
Medical School CMSCreighton University School Of MedicineGraduated 2008
Enumeration DateJuly 6, 2008
Last NPPES UpdateJuly 8, 2015
NPI 1871756353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in CO · DR.0055461
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 2008014001 (MO), DR.0055461 (CO)
10350 DRANSFELDT RD, Parker, CO 80134

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Conrad Rudersdorf Md 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.

PECOS PAC ID143456467
PECOS Enrollment IDI20150915002587
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
10350 DRANSFELDT RD
PARKER, CO 80134
Counselor (Professional)
10350 DRANSFELDT RD
PARKER, CO 80134
Counselor (Professional)
10350 DRANSFELDT RD
PARKER, CO 80134
Social Worker (Clinical)
10350 DRANSFELDT RD
PARKER, CO 80134
Registered Nurse (Psychiatric/Mental Health)
10350 DRANSFELDT RD
PARKER, CO 80134
Clinic/Center (Primary Care)
10350 DRANSFELDT RD
PARKER, CO 80134
Counselor (Mental Health)
10350 DRANSFELDT RD
PARKER, CO 80134
Social Worker (Clinical)
10350 DRANSFELDT RD
PARKER, CO 80134

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 John Rudersdorf's NPI number?

The NPI number for John Rudersdorf is 1871756353. It was assigned to this individual provider in the NPPES registry on July 6, 2008.

Where is John Rudersdorf located?

John Rudersdorf practices at 10350 Dransfeldt Rd Suite 100, Parker, CO 80134. The listed phone number is (303) 805-4312.

What is John Rudersdorf's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is John Rudersdorf enrolled in Medicare?

Yes. John Rudersdorf 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.

When was this NPI record last updated?

The NPPES record for John Rudersdorf was last updated on July 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.