Michael Rutberg, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD009574E Issued in PA

Practice address

4 Pommel LN
Blue Bell, PA 19422-2428

Phone

(215) 542-8896

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Coastal Plains Physician Associates

  • Diagnostic Radiology Physician
  • Varnville, SC
  • NPI 1316992506

  Surgery

  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053411983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 POMMEL LN",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222428",
            "telephone_number": "215-542-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 POMMEL LN",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222428",
            "telephone_number": "215-542-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTBERG",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD009574E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George M. Romanzo, MD
• Margaret Root
• Maria Lynn Rosa-Bian, OTR/L
• Peter S Rosenman, D.M.D.
• Margaret A Russell, P.T.
• Ruttenberg Autism Center
• Hemant Sabharwal, M.D.
• Patricia Sansaricq, DMD,MPH
• Marsha Frances Santangelo, MD
• Tyler Sauder

• Surgery Physician in Blue Bell, PA
• Providers in Blue Bell, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.