Individual provider Active NPI

Lee Charles Ruotsi, MD

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Holland, MI
National Provider Identifier
1376504605
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
4301513299 Issued in MI
Practice address
602 Michigan Ave
Holland, MI 49423-4918
Phone
(616) 494-4251
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 4301513299 MI Primary

Addresses

Primary practice location

602 Michigan Ave
Holland, MI 49423-4918

Mailing address

602 Michigan Ave
Holland, MI 49423-4918
Phone (616) 494-4251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141120001730 NY Practitioner - Undersea and Hyperbaric MedicinePractitioner - Family Practice 3274512009 Reassigns benefits to 3 organizations
I20250107002755 MI Practitioner - Undersea and Hyperbaric Medicine 3274512009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undersea and Hyperbaric Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holland Community HospitalGroup PAC ID 0446157291, 174 clinicians

Practice addresses (Care Compare)

602 Michigan Ave
Holland, MI 49423-4918
Phone (616) 494-4251

Hospital & facility affiliations

  • Holland Hospital Hospital, Holland, MI, CCN 230072
  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038

Merit-based Incentive Payment System (MIPS)

Final score
68.51 of 100Reported as group
Quality
56.19
Improvement activities
40
Cost
75.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue13
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301513299MIMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holland Community Hospital Current Accepting new patients
Mercy Hospital of Buffalo CurrentSince Mar 24, 2010 Accepting new patients
Sisters of Charity Hospital of Buffalo, New York Current Accepting new patients
Saratoga Hospital CurrentSince Mar 28, 2020 Accepting new patients
Saratoga Hospital Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Jan 1, 2014 Accepting new patients
Holland Community Hospital Undersea and Hyperbaric Medicine CurrentSince Jan 8, 2025 Accepting new patients
Holland Community Hospital Family Medicine CurrentSince Jan 8, 2025 Accepting new patients
Scotia Glenville Family Medicine, P.C. Family Medicine Current Accepting new patients
Saratoga Hospital Family Medicine CurrentSince Mar 28, 2020 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Jan 1, 2014 Accepting new patients
Hyperbaric Medicine & Wound Care Associates Past Accepting new patients
Holland Community Hospital Past Accepting new patients
Ruotsi and Bertolino, MD PC Family Medicine PastSince Jan 1, 2007 Accepting new patients
Hyperbaric & Wound Care Physician, P.C. Undersea and Hyperbaric Medicine PastSince Jun 1, 2007 Accepting new patients
FDR Medical Services P.C. Past Accepting new patients

Locations

602 Michigan Ave
Holland, MI 49423
Phone (616) 394-3350

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

112 Charlton Rd
Charlton, NY 12019
Phone (518) 399-7723

2625 Harlem Rd
Ste 120
Cheektowaga, NY 14225
Phone (716) 891-2570

908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

300 Two Mile Creek Rd
Tonawanda, NY 14150
Phone (716) 447-6450

Interoperability endpoints

  • Direct secure messaging: lee.ruotsi@holland.eclinicaldirectplus.com

Organizations & group practices 16

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.

View all 16

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1376504605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 MICHIGAN AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234918",
            "telephone_number": "616-494-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 MICHIGAN AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234918",
            "telephone_number": "616-494-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUOTSI",
        "first_name": "LEE",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "MI",
            "license": "4301513299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.