Individual provider Active NPI

Paul J Ruschak, MD

  • Specialist
  • Monongahela, PA
National Provider Identifier
1003897596
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
AR2727280 Issued in PA
Practice address
100 Stoops Dr
Suite 220
Monongahela, PA 15063
Phone
(724) 483-5507
Fax
(724) 483-0530
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X AR2727280 PA Primary

Addresses

Primary practice location

100 Stoops Dr
Suite 220
Monongahela, PA 15063

Mailing address

100 Stoops Dr
Suite 220
Monongahela, PA 15063
Phone (724) 483-5507

Other identifiers 2

IdentifierTypeStateIssuer
073226OtherPAHIGHMARK BC/BS
070014620OtherPAPALMETTO GBA/RAILROAD MED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20051107000812 PA Practitioner - Dermatology 0547288789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Jefferson Medical College of Thomas Jefferson University, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Stoops Dr
Suite 330
Monongahela, PA 15063-3554
Phone (724) 483-5507

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions130
Skin biopsy166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AR2727280PAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul J Ruschak MD PC Specialist CurrentSince Jul 5, 2005 Accepting new patients

Locations

100 Stoops Dr
Ste 330
Monongahela, PA 15063
Phone (724) 483-5507

100 Stoops Dr
Ste 220
Monongahela, PA 15063
Phone (724) 483-5507

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1003897596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STOOPS DR",
            "address_2": "SUITE 220",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "15063",
            "telephone_number": "724-483-5507",
            "fax_number": "724-483-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STOOPS DR",
            "address_2": "SUITE 220",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "15063",
            "telephone_number": "724-483-5507",
            "fax_number": "724-483-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSCHAK",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "AR2727280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "073226",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA/RAILROAD MED",
            "identifier": "070014620",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monongahela, PA

Sources for this page

Verify at the official NPI Registry.