Individual provider Active NPI

Marian C Rutigliano, D.O.

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1073615852
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H0044296 Issued in MD
Practice address
1200 Pennsylvania Ave NW
Mail Code: 8601P
Washington, DC 20460-0001
Phone
(703) 347-0186
NPI assigned
Sep 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H0044296 MD Primary

Addresses

Primary practice location

1200 Pennsylvania Ave NW
Mail Code: 8601P
Washington, DC 20460-0001

Mailing address

1200 Pennsylvania Ave NW
Mail Code: 8601P
Washington, DC 20460-0001
Phone (703) 347-0186

Other identifiers 1

IdentifierTypeStateIssuer
498651200MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0044296MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Specialists LLP Internal Medicine Past Accepting new patients

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1073615852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PENNSYLVANIA AVE NW",
            "address_2": "MAIL CODE: 8601P",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "204600001",
            "telephone_number": "703-347-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PENNSYLVANIA AVE NW",
            "address_2": "MAIL CODE: 8601P",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "204600001",
            "telephone_number": "703-347-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTIGLIANO",
        "first_name": "MARIAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "H0044296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498651200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.