Individual provider Active NPI

Victoria Kathryn Ruch, PA-C

  • Physician Assistant
  • Wilmington, DE
National Provider Identifier
1386237303
Registry record updated Feb 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0011510 Issued in DE
Practice address
3521 Silverside Rd
Wilmington, DE 19810-4900
Phone
(302) 543-5454
NPI assigned
Feb 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA062297 PA
Physician Assistant 363A00000X C5-0011510 DE Primary

Addresses

Primary practice location

3521 Silverside Rd
Wilmington, DE 19810-4900

Mailing address

31 Crosskeys Dr
Garnet Valley, PA 19060-1316
Phone (484) 557-3791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210329001640 DE Practitioner - Physician Assistant 7416364963 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians

Practice addresses (Care Compare)

19161 Healthy Way
Rehoboth Beach, DE 19971-4491
Phone (302) 645-3300

21635 Biden Ave
Georgetown, DE 19947-4574
Phone (302) 260-7360

21635 Biden Ave
Unit 101
Georgetown, DE 19947-4575
Phone (302) 645-3555

23900 Milton Ellendale Hwy
Milton, DE 19968-2714
Phone (302) 684-5635

28538 Dupont Blvd
Millsboro, DE 19966-4791
Phone (302) 934-0944

32550 Docs PL
Unit 2
Millville, DE 19967-6975
Phone (302) 539-4302

Hospital & facility affiliations

  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C5-0011510DEMDPhysician Assistant
MA062297PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Zarek Donohue LLC CurrentSince Mar 22, 2021 Accepting new patients

Locations

3411 Silverside Rd
Ste 100
Wilmington, DE 19810
Phone (302) 543-5454

3521 Silverside Rd
Ste 2J
Wilmington, DE 19810
Phone (302) 543-5454

3521 Silverside Rd
Wilmington, DE 19810
Phone (302) 477-9588

Interoperability endpoints

  • Direct secure messaging: victoria.ruch@107234456698884.direct.elationemr.com
  • Direct secure messaging: vruch22847@beebehealth.direct-ci.com

Organizations & group practices 2

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": "1613779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613779200000",
    "number": "1386237303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 CROSSKEYS DR",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "190601316",
            "telephone_number": "484-557-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 SILVERSIDE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104900",
            "telephone_number": "302-543-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCH",
        "first_name": "VICTORIA",
        "middle_name": "KATHRYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-20",
        "last_updated": "2021-02-20",
        "certification_date": "2021-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA062297",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0011510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.