Individual provider Active NPI

Ruth M McCluskey, M.D.

  • Pediatrics Physician
  • Avon, IN
National Provider Identifier
1013119460
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01066905 Issued in IN
Practice address
8244 E US Highway 36
Suite 210
Avon, IN 46123-9575
Phone
(317) 272-7337
Fax
(317) 272-8534
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01066905 IN Primary

Addresses

Primary practice location

8244 E US Highway 36
Suite 210
Avon, IN 46123-9575

Mailing address

1100 Southfield Dr
Suite 1370
Plainfield, IN 46168-4498
Phone (317) 837-5571

Other identifiers 1

IdentifierTypeStateIssuer
200948000MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rmccluskey228578@direct-PRD.stelizabeth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20091210000550 IN Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 0941340673 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01066905INMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendricks County Hospital Current Accepting new patients
Hendricks County Hospital Pediatrics CurrentSince Apr 17, 2024 Accepting new patients
Emgi - Riley, LLC Past Accepting new patients
Hendricks County Hospital Past Accepting new patients
Hendricks County Hospital Past Accepting new patients

Locations

8244 E US Highway 36
Ste 210
Avon, IN 46123
Phone (317) 272-7337

8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500

100 Hospital Ln
Ste 200
Danville, IN 46122
Phone (317) 745-7337

1100 Southfield Dr
Ste 1370
Plainfield, IN 46168
Phone (317) 837-5570

Interoperability endpoints

  • Direct secure messaging: rmccluskey228578@direct-prd.stelizabeth.com

Organizations & group practices 5

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": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1013119460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SOUTHFIELD DR",
            "address_2": "SUITE 1370",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461684498",
            "telephone_number": "317-837-5571",
            "fax_number": "317-837-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8244 E US HIGHWAY 36",
            "address_2": "SUITE 210",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239575",
            "telephone_number": "317-272-7337",
            "fax_number": "317-272-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLUSKEY",
        "first_name": "RUTH",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01066905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200948000",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmccluskey228578@direct-PRD.stelizabeth.com",
            "affiliation": "N",
            "address_1": "8244 E US Highway 36",
            "address_2": "Suite 210",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461239575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.