Active NPI
Geoffrey Merritt Rutledge, MD
- Diagnostic Radiology Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD60751693
- Practice address
- 1100 9TH Ave
Seattle, WA 98101-2756 - Phone
- (206) 223-6851
- Fax
- (206) 223-6816
- NPI assigned
- Apr 6, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 254860 | MA | |
| Diagnostic Radiology Physician | 2085R0202X | MD184078 | OR | |
| Diagnostic Radiology Physician | 2085R0202X | MD60751693 | WA | Primary |
Addresses
Primary practice location
1100 9TH Ave
Seattle, WA 98101-2756
Mailing address
354 Broadway
Cambridge, MA 02139-1738
Phone (651) 890-7024
Other practice location 1
222 15th Ave SE
Puyallup, WA 98372-3754
Phone (253) 841-4353
Other practice location 2
4525 S 19th St
Tacoma, WA 98405-1106
Phone (253) 759-2622
Other practice location 3
2502 S Union Ave
Tacoma, WA 98405-1328
Phone (253) 761-9482
Other practice location 4
1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone (253) 761-4200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500727834 | Medicaid | OR | |
| 2079666 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Minnesota Medical School, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Pecan St SE
Washington, DC 20032-2652
Phone (771) 444-6200
Hospital & facility affiliations
- George Washington Univ Hospital
- Cedar Hill Regional Medical Center
- Virginia Hospital Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60751693 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Current | Accepting new patients | |
| Tra-Minw P S | Current | Accepting new patients | |
| Medical Faculty Associates, Inc | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Union Avenue Open MRI LLC | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients |
Locations
1200 Pecan St SE
Washington, DC 20032
Phone (610) 382-4422
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750
380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632
34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100
222 15th Ave SE
Puyallup, WA 98372
925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860
1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980
1100 9th Ave
#5
Seattle, WA 98101
Phone (206) 223-6851
1304 Fawcett Ave
Ste 100
Tacoma, WA 98402
Phone (253) 680-3372
3402 S 18th St
Tacoma, WA 98405
Phone (253) 383-1099
2502 S Union Ave
Tacoma, WA 98405
Phone (253) 759-5900
4525 S 19th St
Tacoma, WA 98405
Phone (253) 759-2622
9601 Steilacoom Blvd SW
Tacoma, WA 98498
Phone (253) 582-8900
Organizations & group practices 11
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.
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1083802946
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1568531242
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1396814166
-
- Radiology Clinic/Center
- Puyallup, WA
- NPI 1336419514
-
- Radiology Clinic/Center
- Federal Way, WA
- NPI 1184790032
-
- Mobile Radiology Clinic/Center
- Seattle, WA
- NPI 1255577003
-
- Mobile Radiology Clinic/Center
- Seattle, WA
- NPI 1548406374
-
- Mobile Radiology Clinic/Center
- Seattle, WA
- NPI 1790921435
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
-
- Mobile Radiology Clinic/Center
- Seattle, WA
- NPI 1861638603
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, DC
- NPI 1487640207
-
- General Acute Care Hospital
- Washington, DC
- NPI 1285492892
-
- General Acute Care Hospital
- Arlington, VA
- NPI 1790785996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1083939623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "354 BROADWAY",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021391738",
"telephone_number": "651-890-7024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 9TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012756",
"telephone_number": "206-223-6851",
"fax_number": "206-223-6816"
}
],
"practiceLocations": [
{
"address_1": "222 15th Ave SE",
"address_purpose": "LOCATION",
"city": "Puyallup",
"state": "WA",
"postal_code": "983723754",
"country_code": "US",
"telephone_number": "253-841-4353",
"fax_number": "253-583-8630",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4525 S 19th St",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984051106",
"country_code": "US",
"telephone_number": "253-759-2622",
"fax_number": "253-572-4324",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2502 S Union Ave",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984051328",
"country_code": "US",
"telephone_number": "253-761-9482",
"fax_number": "253-759-6252",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1304 Fawcett Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984021900",
"country_code": "US",
"telephone_number": "253-761-4200",
"fax_number": "253-761-4201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUTLEDGE",
"first_name": "GEOFFREY",
"middle_name": "MERRITT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-06",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "254860",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OR",
"license": "MD184078",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD60751693",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500727834",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2079666",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.