Michael Rucker

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA2204 Issued in FL

Practice address

2415 N Orange Ave Ste 700
Orlando, FL 32804-5521

Phone

(407) 303-2474

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Florida College of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Florida Hospital Medical Group Inc

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1225034234
  Medicare reassignment Care Compare group NPD
• Vascular Specialists of Central Florida Inc

  • Vascular Surgery Physician
  • Orlando, FL
  • NPI 1811976004
  Medicare reassignment
• Florida Hospital Medical Group Inc

  • Prosthetic/Orthotic Supplier
  • Minneola, FL
  • NPI 1285591545
  NPD
• Cary L. Stowe, M.D., P.a.

  • Specialist
  • Vero Beach, FL
  • NPI 1346273216
  NPD (past)
• Central Florida Cardiothoracic Surgery PA

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Winter Park, FL
  • NPI 1205033701
  NPD (past)
• Nayer N. Khouzam, M.D., P.a.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Orlando, FL
  • NPI 1396784393
  NPD (past)
• Orlando Cardiovascular Institute P a

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Orlando, FL
  • NPI 1790802395
  NPD (past)
• Pulmonary Care of Central Florida

  • Specialist
  • Winter Park, FL
  • NPI 1184632358
  NPD (past)
• S. David Spector Cardiovascular Surgery P a

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Orlando, FL
  • NPI 1073632139
  NPD (past)

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

• Adventist Health System-Sunbelt, Inc

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1164544193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4584 OLD CARRIAGE TRL",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658473",
            "telephone_number": "407-701-4253",
            "fax_number": "407-679-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 N ORANGE AVE STE 700",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045521",
            "telephone_number": "407-303-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA2204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292052200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalia Rubio-Kober, FNP
• Jessica Ruch, COTA
• Ruchi Eye Associates LLC
• Richard B. Ruchman, MD
• Angela Marie Rucker
• Porcha Rucker, HOMEMAKER/COMPANION
• Tony J Rucker
• William Brandon Ruderman, MD
• Brian David Rudnick, RPH
• Nikki Rudy, M.S. BCBA

• Surgical Physician Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.