Paul M Rutkowski DO PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS015467 Issued in PA

Legal business name

PAUL M RUTKOWSKI DO PC

Practice address

526 Main St
Dupont, PA 18641-1452

Phone

(570) 883-8360

Fax

(570) 883-8362

NPI assigned

Jul 21, 2016

Organization subpart

No

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

Authorized official

Name

Paul M Rutkowski, DONPI 1003078254

Title

President

Phone

(570) 285-3570

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Michael Rutkowski, D.O.

  • Internal Medicine Physician
  • Dupont, PA
  • NPI 1003078254
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1164875464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1388",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040379",
            "telephone_number": "570-288-8881",
            "fax_number": "570-288-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 MAIN ST",
            "city": "DUPONT",
            "state": "PA",
            "postal_code": "186411452",
            "telephone_number": "570-883-8360",
            "fax_number": "570-883-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL M RUTKOWSKI DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "RUTKOWSKI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-285-3570",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS015467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John P Konicki, DDS
• Peter X Konicki, RPH
• Catherine M Madsen, RD
• Tracy Ann Mooney Wynder, RN
• Tyler James Motisko, DC
• Redicka Pharmacy
• Paul Michael Rutkowski, D.O.
• Kathleen Sudol, MS OTR/L
• Superior Health Services, Inc.
• Corinne Toczylowski

• Internal Medicine Physician in Dupont, PA
• Providers in Dupont, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.