Rajivi Pothiraj Rucker, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

ME84160 Issued in FL

Practice address

1250 S Tamiami TRL Ste 302
Sarasota, FL 34239-2221

Phone

(941) 877-5983

Fax

(941) 957-0079

NPI assigned

Jun 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

University of North Carolina at Chapel Hill School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Premier Allergist of Florida LLCGroup PAC ID 9931232063, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: rucker.rajvi.021.0090427@avh.meditab.direct-ci.com
• Direct secure messaging: rucker.rajvi.023.0090427@avh.meditab.direct-ci.com
• Direct secure messaging: rucker.rajvi.019.0090427@avh.meditab.direct-ci.com

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.

• Premier Allergist of Florida LLC

  • Allergy Physician
  • Sarasota, FL
  • NPI 1427237486
  Medicare reassignment Care Compare group
• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1255376000
  Medicare reassignment NPD
• Suncoast Allergy & Asthma Center

  • Allergy & Immunology Physician
  • Bradenton, FL
  • NPI 1871680090
  NPD (past) Authorized official
• MCR Health, Inc.

  • Non-Pharmacy Dispensing Site
  • Bradenton, FL
  • NPI 1821878745
  NPD
• Premier Allergist of Florida LLC

  • Allergy & Immunology Physician
  • Venice, FL
  • NPI 1033984299
  NPD (past)
• Premier Allergist of Florida LLC

  • Allergy & Immunology Physician
  • Bradenton, FL
  • NPI 1790513307
  NPD (past)

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

• Sarasota County Public Hospital District

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1194721522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S TAMIAMI TRL STE 302",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392221",
            "telephone_number": "941-877-5983",
            "fax_number": "941-957-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S TAMIAMI TRL STE 302",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392221",
            "telephone_number": "941-877-5983",
            "fax_number": "941-957-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "RAJIVI",
        "middle_name": "POTHIRAJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME84160",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME84160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE",
            "identifier": "48958",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "KI170",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004579100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David A. Rubins, M.D.
• Leonard A Rubinstein, MD
• Luz Marisol Rubio Arenas
• Rucci Rehab Services
• Jacquelyn J Ruch, LCSW
• Courtney J Rude
• Rudhra LLC
• Alan T Rudolph, MD
• Connie Jayne Rudolph, CNM
• Dennis Dean Rudolph, RPH

• Allergy & Immunology Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Allergy & Immunology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.