NPIMap

Individual provider Active NPI

Rutwij K Jotani, M.D.

  • Family Medicine Physician
  • Pell City, AL
National Provider Identifier
1356303143
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00027238 Issued in AL
Practice address
7067 Veterans Pkwy
Suite 200
Pell City, AL 35125-5118
Phone
(205) 884-9000
Fax
(205) 884-8111
NPI assigned
Apr 5, 2006
Last updated
Dec 29, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00027238 AL Primary

Addresses

Primary practice location

7067 Veterans Pkwy
Suite 200
Pell City, AL 35125-5118

Mailing address

7067 Veterans Pkwy
Suite 200
Pell City, AL 35125-5118
Phone (205) 884-9000

Other identifiers 1

IdentifierTypeStateIssuer
9938311MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060831000174 AL Practitioner - Family Practice 2769416171 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pell City Internal Medicine LLCGroup PAC ID 0648426825, 6 clinicians

Practice addresses (Care Compare)

41 Eminence Way
Suite a
Pell City, AL 35128-2338
Phone (205) 884-9000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00027238ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eminence Urgent Care LLC CurrentSince Jul 20, 2020 Accepting new patients
Pell City Internal Medicine LLC Family Medicine CurrentSince Jun 26, 2012 Accepting new patients
Village at Cook Springs, LLC Past Accepting new patients
Health Care, Inc. Past Accepting new patients

Locations

2156 Highway 52 E
#150
Pelham, AL 35124
Phone (205) 920-1211

41 Eminence Way
Ste A
Pell City, AL 35128
Phone (205) 206-4518

7067 Veterans Pkwy
Ste 200
Pell City, AL 35125
Phone (205) 478-1200

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aveanna Hospice of Pell CityPell City, AL, CCN 011617 Hospice W-2 Managing Employee Jul 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1356303143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7067 VETERANS PKWY",
            "address_2": "SUITE 200",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351255118",
            "telephone_number": "205-884-9000",
            "fax_number": "205-884-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7067 VETERANS PKWY",
            "address_2": "SUITE 200",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351255118",
            "telephone_number": "205-884-9000",
            "fax_number": "205-884-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOTANI",
        "first_name": "RUTWIJ",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00027238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9938311",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pell City, AL

Sources for this page

Verify at the official NPI Registry.