Active NPI
John Thomas Ruxer, DO
- Pain Medicine Physician
- Paducah, KY
National Provider Identifier
1205078987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 03360
- Practice address
- 5925 Old Hwy 60 West
Suite D
Paducah, KY 42001 - Phone
- (270) 228-0118
- Fax
- (270) 228-0120
- NPI assigned
- Mar 27, 2009
- Last updated
- Jul 24, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 03360 | KY | |
| Pain Medicine Physician | 208VP0000X | 03360 | KY | Primary |
Addresses
Primary practice location
5925 Old Hwy 60 West
Suite D
Paducah, KY 42001
Mailing address
5925 Old Hwy 60
Paducah, KY 42001
Phone (270) 228-0118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100136190 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5925 Old Hwy 60 W D
Paducah, KY 42001
Phone (270) 228-0118
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03360 | KY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Pain and Rehabilitation Inc | Pain Medicine | Current | Accepting new patients |
| Elite Anesthesia LLC | Past | Accepting new patients |
Locations
4645 Village Square Dr
Ste C
Paducah, KY 42001
Phone (270) 228-0118
5925 US Highway 60 W
Ste D
Paducah, KY 42001
Phone (270) 276-6502
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JCEAED/Endpoint/JCEAED
- john.ruxer@3626.securemail.prognocis.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Elite Pain and Spine
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Paducah, KY
- NPI 1295377497
-
- Anesthesiology Physician
- Paducah, KY
- NPI 1215608096
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1730264128
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1346244126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1205078987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5925 OLD HWY 60",
"city": "PADUCAH",
"state": "KY",
"postal_code": "42001",
"telephone_number": "270-228-0118",
"fax_number": "270-228-0120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5925 OLD HWY 60 WEST",
"address_2": "SUITE D",
"city": "PADUCAH",
"state": "KY",
"postal_code": "42001",
"telephone_number": "270-228-0118",
"fax_number": "270-228-0120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUXER",
"first_name": "JOHN",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-27",
"last_updated": "2025-07-24",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KY",
"license": "03360",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "KY",
"license": "03360",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100136190",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.