Individual provider Active NPI

Philip John Ruzbarsky, M.D.

  • General Practice Physician
  • Westminster, MD
National Provider Identifier
1225097058
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
D33599 Issued in MD
Practice address
125 Airport Dr
Suite 34
Westminster, MD 21157-3024
Phone
(410) 848-8882
Fax
(410) 848-8767
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X D33599 MD Primary

Addresses

Primary practice location

125 Airport Dr
Suite 34
Westminster, MD 21157-3024

Mailing address

125 Airport Dr
Suite 34
Westminster, MD 21157-3024
Phone (410) 848-8882

Other identifiers 1

IdentifierTypeStateIssuer
C0000786OtherMDROSS ZELESNICK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20120327000050 MD Practitioner - General Practice 1850551052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Airpark Primary Care LLCGroup PAC ID 1355312604, 2 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

125 Airport Dr
Unit 34
Westminster, MD 21157-3038
Phone (410) 848-8882

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

  • Homecare Maryland, LLC Home health agency, Owings Mills, MD, CCN 217107
  • Amedisys Home Health Home health agency, Westminster, MD, CCN 217048

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D33599MDMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Airpark Primary Care Current Accepting new patients
Airpark Primary Care LLC General Practice CurrentSince Jan 1, 1998 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

125 Airport Dr
Unit 34
Westminster, MD 21157
Phone (410) 840-3336

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1225097058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 AIRPORT DR",
            "address_2": "SUITE 34",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211573024",
            "telephone_number": "410-848-8882",
            "fax_number": "410-848-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 AIRPORT DR",
            "address_2": "SUITE 34",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211573024",
            "telephone_number": "410-848-8882",
            "fax_number": "410-848-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUZBARSKY",
        "first_name": "PHILIP",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "D33599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROSS ZELESNICK",
            "identifier": "C0000786",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.