Individual provider Active NPI

August F Rymut Jr., M.D.

  • Specialist
  • Milwaukee, WI
National Provider Identifier
1174679385
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
17267 Issued in WI
Practice address
1660 N Prospect Ave
909
Milwaukee, WI 53202-2400
Phone
(414) 223-7909
NPI assigned
Jan 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 17267 WI Primary

Addresses

Primary practice location

1660 N Prospect Ave
909
Milwaukee, WI 53202-2400

Mailing address

1660 N Prospect Ave
Unit 909
Milwaukee, WI 53202-2445
Phone (414) 223-7909

Other identifiers 1

IdentifierTypeStateIssuer
30956800MedicaidWI

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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17267WIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Radia Inc P S Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1174679385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 N PROSPECT AVE",
            "address_2": "UNIT 909",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022445",
            "telephone_number": "414-223-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 N PROSPECT AVE",
            "address_2": "909",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022400",
            "telephone_number": "414-223-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYMUT",
        "first_name": "AUGUST",
        "middle_name": "F",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-28",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "17267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30956800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.