NPIMap

Individual provider Active NPI

Paul Michael Rutkowski, D.O.

  • Internal Medicine Physician
  • Dupont, PA
National Provider Identifier
1003078254
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS015467 Issued in PA
Practice address
526 Main St
Dupont, PA 18641-1452
Phone
(570) 883-8360
Fax
(570) 883-8362
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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 OS015467 PA
Internal Medicine Physician 207R00000X OS015467 PA Primary

Addresses

Primary practice location

526 Main St
Dupont, PA 18641-1452

Mailing address

PO Box 1388
Kingston, PA 18704-0379
Phone (570) 288-8881

Other practice location 1

575 N River St
Wilkes Barre, PA 18764-0999
Phone (570) 552-4450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120503000303 PA Practitioner - Internal Medicine 0840321741 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

526 Main St
Dupont, PA 18641-1452
Phone (570) 883-8360

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.47 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS015467PAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Inpatient Medicine PC Hospitalist CurrentSince Sep 1, 2013 Accepting new patients
Advanced Inpatient Medicine Associates PC Hospitalist CurrentSince Mar 1, 2014 Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Apr 1, 2012 Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine Current Accepting new patients
Paul M Rutkowski DO PC Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
Wilkes Barre Hospital Company LLC Past Accepting new patients

Locations

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

540 Pierce St
Kingston, PA 18704
Phone (570) 287-2700

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

201 Reeceville Rd
West Brandywine, PA 19320
Phone (215) 788-2285

575 N River St
#M
Wilkes Barre, PA 18764

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

Organizations & group practices 6

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 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1003078254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1388",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040379",
            "telephone_number": "570-288-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 MAIN ST",
            "city": "DUPONT",
            "state": "PA",
            "postal_code": "186411452",
            "telephone_number": "570-883-8360",
            "fax_number": "570-883-8362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 N River St",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187640999",
            "country_code": "US",
            "telephone_number": "570-552-4450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTKOWSKI",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "OS015467",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS015467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dupont, PA

Sources for this page

Verify at the official NPI Registry.