Individual provider Active NPI

Andrew Hinkley Ruzich, M.D.

  • Ophthalmology Physician
  • Imperial, PA
National Provider Identifier
1124013180
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD058699L Issued in PA
Practice address
236 W Allegheny Rd
Imperial, PA 15126-9775
Phone
(724) 695-3371
Fax
(724) 695-3372
NPI assigned
Sep 15, 2005
Last updated
Mar 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD058699L PA Primary

Addresses

Primary practice location

236 W Allegheny Rd
Imperial, PA 15126-9775

Mailing address

236 W Allegheny Rd
Imperial, PA 15126-9775
Phone (724) 695-3371

Other identifiers 6

IdentifierTypeStateIssuer
1500039OtherPAGATEWAY
10935378OtherPACAQH
206789OtherPAUPMC
258371OtherPAHEALTH ASSUR/ADVANTRA
001695766OtherPAHIGHMARK
3815115OtherPAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Jefferson Medical College of Thomas Jefferson University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

236 W Allegheny Rd
Imperial, PA 15126-9775

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery54

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew H. Ruzich MD, PC Ophthalmology CurrentSince Mar 23, 2005 Accepting new patients

Locations

236 W Allegheny Rd
Imperial, PA 15126
Phone (724) 695-3371

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1124013180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W ALLEGHENY RD",
            "city": "IMPERIAL",
            "state": "PA",
            "postal_code": "151269775",
            "telephone_number": "724-695-3371",
            "fax_number": "724-695-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 W ALLEGHENY RD",
            "city": "IMPERIAL",
            "state": "PA",
            "postal_code": "151269775",
            "telephone_number": "724-695-3371",
            "fax_number": "724-695-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUZICH",
        "first_name": "ANDREW",
        "middle_name": "HINKLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD058699L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1500039",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10935378",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "206789",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSUR/ADVANTRA",
            "identifier": "258371",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "001695766",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3815115",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Imperial, PA

Sources for this page

Verify at the official NPI Registry.