Individual provider Active NPI

Patrick T Rucker, MD

  • Diagnostic Radiology Physician
  • Montgomery, AL
National Provider Identifier
1114973013
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD27476 Issued in AL
Practice address
4145 Carmichael Rd
Montgomery, AL 36106-2803
Phone
(334) 273-2320
Fax
(334) 273-2386
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 31436 AZ
Diagnostic Radiology Physician 2085R0202X MD27476 AL Primary
Vascular & Interventional Radiology Physician 2085R0204X MD27476 AL

Addresses

Primary practice location

4145 Carmichael Rd
Montgomery, AL 36106-2803

Mailing address

2055 Normandie Dr
Suite 108
Montgomery, AL 36111-2732
Phone (334) 269-6337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060710000298 AL Practitioner - Diagnostic Radiology 2163406331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Louisville School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery Radiology Associates PAGroup PAC ID 2961301999, 39 clinicians

Practice addresses (Care Compare)

2055 Normandie Dr
Montgomery, AL 36111-2732
Phone (334) 288-2100

2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 288-2100

Hospital & facility affiliations

  • Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023
  • Baptist Medical Center East Hospital, Montgomery, AL, CCN 010149
  • Jackson Hospital & Clinic Inc Hospital, Montgomery, AL, CCN 010024
  • Prattville Baptist Hospital Hospital, Prattville, AL, CCN 010108

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD27476ALMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Radiology Associates, PA CurrentSince May 14, 2012 Accepting new patients
Selma Radiology Associates P C Past Accepting new patients
Clinical Diagnostic Radiology in Nuclear Medicine Diagnostic Radiology Past Accepting new patients
Medical Imaging Specialists, PC Diagnostic Radiology Past Accepting new patients

Locations

1301 Belleville Ave
Brewton, AL 36426
Phone (251) 809-8439

2016 S Alabama Ave
Monroeville, AL 36460
Phone (251) 575-3111

2055 Normandie Dr
Ste 200
Montgomery, AL 36111
Phone (205) 262-0655

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

4145 Carmichael Rd
Montgomery, AL 36106
Phone (334) 273-7000

2055 Normandie Dr
Ste 108
Montgomery, AL 36111
Phone (334) 288-4624

2055 Normandie Dr
Montgomery, AL 36111
Phone (334) 288-2100

2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300

Interoperability endpoints

  • Direct secure messaging: patrick.rucker@direct.baptistfirst.org

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1114973013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 NORMANDIE DR",
            "address_2": "SUITE 108",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361112732",
            "telephone_number": "334-269-6337",
            "fax_number": "334-834-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4145 CARMICHAEL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062803",
            "telephone_number": "334-273-2320",
            "fax_number": "334-273-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "PATRICK",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "31436",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "MD27476",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AL",
            "license": "MD27476",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.