Brad William Ruetenik, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E3866 Issued in CA

Practice address

1011 Devonshire Dr
Suite F
Encinitas, CA 92024-5136

Phone

(760) 753-1804

Fax

(760) 942-1890

NPI assigned

Nov 2, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Socal Foot Care PCGroup PAC ID 5395110076, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Scripps Memorial Hospital - Encinitas Hospital, Encinitas, CA, CCN 050503

Merit-based Incentive Payment System (MIPS)

Final score

83.67 of 100Reported as group

Quality

70.31

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: bruetenik28099@scrippshlth.medalliesdirect.net
• Direct secure messaging: brad.ruetenik.1@20181.direct.athenahealth.com

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.

• Socal Foot Care PC

  • Foot & Ankle Surgery Podiatrist
  • La Jolla, CA
  • NPI 1023723913

  Sports Medicine

  Medicare reassignment Care Compare group NPD
• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Socal Foot Care PC

  • Foot & Ankle Surgery Podiatrist
  • Chula Vista, CA
  • NPI 1225998313
  NPD

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

• Scripps Health

  • General Acute Care Hospital
  • Encinitas, CA
  • NPI 1700829199
  Care Compare affiliation

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1093706590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 S HIGHWAY 101",
            "address_2": "SUITE 408",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751807",
            "telephone_number": "760-753-1804",
            "fax_number": "760-942-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 DEVONSHIRE DR",
            "address_2": "SUITE F",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245136",
            "telephone_number": "760-753-1804",
            "fax_number": "760-942-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUETENIK",
        "first_name": "BRAD",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "CA",
            "license": "E3866",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald N Rothenberg, M.D.
• Jaya Roy, LCSW
• Valerie P Rubin, M. D.
• Emily Ruddy
• David Ruecker, MD
• Debra Ellen Ruff, MA, BCBA
• Natasha Michon Ruiz, NP
• Karen Russell, AMFT
• Kelli Russell, M.A.
• Rvsal , LLC

• Foot & Ankle Surgery Podiatrist in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.

Verify at the official NPI Registry.