Active NPI
Nathaniel Jacob Ruttig, M.D.
- Ophthalmology Physician
- Niceville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME 116522
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008905700 | Medicaid | FL |
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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.98 of 100
- Quality
- 91.95
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1164 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 116522 | FL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye M.D. of Niceville LLC | Ophthalmology | Current | Accepting new patients |
| Eye MD of Niceville Surgery LLC | Current | Accepting new patients | |
| Emerald Coast Eye Institute LLC | Ophthalmology | Current | Accepting new patients |
| B. Eric Jones, MD, PA | Past | Accepting new patients | |
| Emerald Coast Eye Institute, LLC | Ophthalmology | Past | 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
- 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.
-
- Ophthalmology Physician
- Niceville, FL
- NPI 1962875823
-
- Ophthalmology Physician
- Fort Walton Beach, FL
- NPI 1669421467
-
- Ambulatory Surgical Clinic/Center
- Niceville, FL
- NPI 1841884731
-
- Durable Medical Equipment & Medical Supplies
- Fort Walton Beach, FL
- NPI 1164638680
Ophthalmology
-
- Health Service Clinic/Center
- Baltimore, MD
- NPI 1730124249
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Niceville, FL
- NPI 1891732988
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.