Active NPI
Robert Rutkowski
- Pediatrics Physician
- Moon TWP, PA
National Provider Identifier
1124021985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD056454L
- Practice address
- 1600 Coraopolis Heights Rd
Ste E
Moon TWP, PA 15108-4316 - Phone
- (412) 262-2415
- NPI assigned
- May 24, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD056454L | PA | Primary |
Addresses
Primary practice location
1600 Coraopolis Heights Rd
Ste E
Moon TWP, PA 15108-4316
Mailing address
11279 Perry Hwy
Ste 450
Wexford, PA 15090-9303
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | robert.rutkowski@upmcdirect.com | UPMC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childen'S Community Care | Pediatrics | Current | Accepting new patients |
| Children'S Community Care | Pediatrics | Past | Accepting new patients |
| Children'S Community Care | Pediatrics | Past | Accepting new patients |
| Childrens Community Pediatrics | Pediatrics | Past | Accepting new patients |
Locations
1600 Coraopolis Heights Rd
Ste E
Moon Twp, PA 15108
Phone (412) 262-2415
11279 Perry Hwy
Ste 450
Wexford, PA 15090
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1124021985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11279 PERRY HWY",
"address_2": "STE 450",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150909303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 CORAOPOLIS HEIGHTS RD",
"address_2": "STE E",
"city": "MOON TWP",
"state": "PA",
"postal_code": "151084316",
"telephone_number": "412-262-2415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTKOWSKI",
"first_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD056454L",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "robert.rutkowski@upmcdirect.com",
"affiliation": "Y",
"affiliationName": "UPMC",
"address_1": "600 Grant St",
"address_2": "Floor 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Moon TWP, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.