Individual provider Active NPI

Nathaniel Jacob Ruttig, M.D.

  • Ophthalmology Physician
  • Niceville, FL
National Provider Identifier
1295710127
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME 116522 Issued in FL
Practice address
1480 Hickory St
Suite 104
Niceville, FL 32578-8846
Phone
(850) 760-0500
Fax
(850) 760-0501
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME 116522 FL Primary

Addresses

Primary practice location

1480 Hickory St
Suite 104
Niceville, FL 32578-8846

Mailing address

1480 Hickory St
Suite 104
Niceville, FL 32578-8846
Phone (850) 760-0500

Other identifiers 1

IdentifierTypeStateIssuer
008905700MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130724000807 FL Practitioner - Ophthalmology 4688866601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northeastern Ohio University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye M.D. of Niceville LLCGroup PAC ID 3173824281, 2 clinicians

Practice addresses (Care Compare)

1480 Hickory St
Suite 104
Niceville, FL 32578-8843
Phone (850) 760-0500

Hospital & facility affiliations

  • HCA Florida Twin Cities Hospital Hospital, Niceville, FL, CCN 100054

Merit-based Incentive Payment System (MIPS)

Final score
95.98 of 100Reported as individual
Quality
91.95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1164
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 116522FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye M.D. of Niceville LLC Ophthalmology CurrentSince Oct 27, 2015 Accepting new patients
Eye MD of Niceville Surgery LLC CurrentSince Mar 4, 2021 Accepting new patients
Emerald Coast Eye Institute LLC Ophthalmology CurrentSince Jun 24, 2013 Accepting new patients
B. Eric Jones, MD, PA PastSince Dec 2, 2005 Accepting new patients
Emerald Coast Eye Institute, LLC Ophthalmology PastSince Jun 24, 2013 Accepting new patients

Locations

7720 US Highway 98 W
Ste 380
Destin, FL 32550
Phone (850) 267-0426

911 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 862-4001

1034 Mar Walt Dr
Unit 200
Ft Walton Bch, FL 32547
Phone (850) 862-4001

1480 Hickory St
Ste 104
Niceville, FL 32578
Phone (850) 760-0500

1480 Hickory St
Ste 106
Niceville, FL 32578
Phone (850) 760-0520

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ec21ei41

Organizations & group practices 5

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 1

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1295710127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 HICKORY ST",
            "address_2": "SUITE 104",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325788846",
            "telephone_number": "850-760-0500",
            "fax_number": "850-760-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 HICKORY ST",
            "address_2": "SUITE 104",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325788846",
            "telephone_number": "850-760-0500",
            "fax_number": "850-760-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTTIG",
        "first_name": "NATHANIEL",
        "middle_name": "JACOB",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME 116522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008905700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

Verify at the official NPI Registry.