Individual provider Active NPI

Kelly Elizabeth Ruhstaller, M.D.

  • Maternal & Fetal Medicine Physician
  • Newark, DE
National Provider Identifier
1386878254
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
C1-0011761 Issued in DE
Practice address
1 Centurian Dr
Suite 312
Newark, DE 19713-2137
Phone
(302) 319-5680
Fax
(302) 319-5681
NPI assigned
May 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X C1-0011761 DE Primary

Addresses

Primary practice location

1 Centurian Dr
Suite 312
Newark, DE 19713-2137

Mailing address

1 Centurian Dr
Suite 312
Newark, DE 19713-2137
Phone (302) 319-5680

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160727000065 DE Practitioner - Obstetrics/Gynecology 3072806124 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Virginia Commonwealth University, School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Centurian Dr
Newark, DE 19713-2127
Phone (302) 319-5680

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0011761DEMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Center for Maternal Fetal Medicine of Christiana Care Maternal & Fetal Medicine CurrentSince Jul 21, 2016 Accepting new patients
Christiana Care Health Services Inc Maternal & Fetal Medicine CurrentSince Jul 21, 2016 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jul 21, 2016 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services, Inc. Past Accepting new patients

Locations

1 Centurian Dr
Ste 312
Newark, DE 19713
Phone (302) 319-5680

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

4755 Ogletown Stanton Rd
Ste 1900
Newark, DE 19718
Phone (302) 733-6510

4755 Oglewtown Stant S 190
Newark, DE 19718
Phone (302) 733-6510

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.

NPI Registry JSON

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1386878254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CENTURIAN DR",
            "address_2": "SUITE 312",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132137",
            "telephone_number": "302-319-5680",
            "fax_number": "302-319-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CENTURIAN DR",
            "address_2": "SUITE 312",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132137",
            "telephone_number": "302-319-5680",
            "fax_number": "302-319-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUHSTALLER",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-07",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "DE",
            "license": "C1-0011761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.