Individual provider Active NPI

Craig H Ruetzel, M.D.

  • Obstetrics & Gynecology Physician
  • Chesapeake, VA
National Provider Identifier
1033129218
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101048262 Issued in VA
Practice address
824 Greenbrier Pkwy
Suite 100
Chesapeake, VA 23320-3697
Phone
(757) 410-7390
Fax
(757) 410-7395
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101048262 VA Primary

Addresses

Primary practice location

824 Greenbrier Pkwy
Suite 100
Chesapeake, VA 23320-3697

Mailing address

824 Greenbrier Pkwy
Suite 100
Chesapeake, VA 23320-3697
Phone (757) 410-7390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20101213000588 VA Practitioner - Obstetrics/Gynecology 5092855692

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

824 Greenbrier Pkwy
Suite 100
Chesapeake, VA 23320-3697

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101048262VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ruetzel Gynecology & Obstetrics Obstetrics & Gynecology CurrentSince Dec 22, 2015 Accepting new patients
William K Rand, III, Gynecology PLLC PastSince Dec 22, 2015 Accepting new patients

Locations

824 Greenbrier Pkwy
Ste 100
Chesapeake, VA 23320
Phone (757) 410-7390

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12771/brand/1/csg/1/fhir/r4
  • Direct secure messaging: craig.ruetzel.1@12771.direct.athenahealth.com

Organizations & group practices 2

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1033129218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 GREENBRIER PKWY",
            "address_2": "SUITE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203697",
            "telephone_number": "757-410-7390",
            "fax_number": "757-410-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 GREENBRIER PKWY",
            "address_2": "SUITE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203697",
            "telephone_number": "757-410-7390",
            "fax_number": "757-410-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUETZEL",
        "first_name": "CRAIG",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101048262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.