Active NPI
Timothy Kirk Ruttan, MD
- Emergency Medicine Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- P5885
- Practice address
- Dell Children'S Emergency Department
4900 Mueller Blvd
Austin, TX 78723 - Phone
- (512) 324-9725
- NPI assigned
- Jul 15, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | P5885 | TX | |
| Emergency Medicine Physician | 207P00000X | P5885 | TX | Primary |
Addresses
Primary practice location
Dell Children'S Emergency Department
4900 Mueller Blvd
Austin, TX 78723
Mailing address
1345 Philomena St Ste 253
Austin, TX 78723-3210
Phone (512) 324-0150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Travis County Emergency Physicians PA | Emergency Medicine | Current | Accepting new patients |
| Austin Critical Care Specialists PA | Current | Accepting new patients | |
| Austin Critical Care Specialists PA | Current | Accepting new patients |
Locations
1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058
4900 Mueller Blvd
#2
Austin, TX 78723
4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165
11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125
7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305
2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779
850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050
1751 Crystal Falls Pkwy
Leander, TX 78641
Phone (512) 528-7000
11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020
3011 W Loop 1604 N
San Antonio, TX 78251
Phone (726) 266-7081
Organizations & group practices 3
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Austin, TX
- NPI 1447435805
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1962440933
-
- Critical Care Medicine (Internal Medicine) Physician
- Round Rock, TX
- NPI 1548445596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1104080514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 PHILOMENA ST STE 253",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233210",
"telephone_number": "512-324-0150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DELL CHILDREN'S EMERGENCY DEPARTMENT",
"address_2": "4900 MUELLER BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78723",
"telephone_number": "512-324-9725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTTAN",
"first_name": "TIMOTHY",
"middle_name": "KIRK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-15",
"last_updated": "2025-05-06",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "TX",
"license": "P5885",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "P5885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.