Russell John Rybka, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

233 Issued in ME

Practice address

326 Main St
125
Cumberland, ME 04021-3904

Phone

(207) 829-6463

Fax

(207) 829-6513

NPI assigned

Feb 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

College of Podiatric Med and Surgery, Des Moines University, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• New England Rehabilitation Hospital of Portland, a Inpatient rehabilitation facility, Portland, ME, CCN 203025

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bayside Podiatry P.a.

  • Podiatrist
  • Cumberland Center, ME
  • NPI 1154648863
  NPD (past) Authorized official

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

• New England Rehabilitation Hospital of Portland, LLC

  dba New England Rehabilitation Hospital of Portland

  • Rehabilitation Hospital
  • Portland, ME
  • NPI 1194799023

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316072697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 MAIN ST",
            "address_2": "P.O. BOX 125",
            "city": "CUMBERLAND",
            "state": "ME",
            "postal_code": "040213904",
            "telephone_number": "207-829-6463",
            "fax_number": "207-829-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 MAIN ST",
            "address_2": "125",
            "city": "CUMBERLAND",
            "state": "ME",
            "postal_code": "040213904",
            "telephone_number": "207-829-6463",
            "fax_number": "207-829-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYBKA",
        "first_name": "RUSSELL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "ME",
            "license": "233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "037988",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Pearson, LCSW
• Chelsey Leigh Pellerin, OTR/L
• Lucia Reardon, M.A., CCC-SLP
• Vickey Riley, OTRL
• Courtney Lynn Roach
• Jill Schacht, OTR/L
• Peter L. Scott, LCSW
• Tracy Silverman, M.S.P.T.
• Ellen Smith-Erb, LCSW
• Kaila-Ruth Smith, OT/L

• Podiatrist in Cumberland, ME
• Providers in Cumberland, ME by specialty
• Podiatrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.