Individual provider Active NPI

Jessica Fay Rutstein, DPM

  • Foot & Ankle Surgery Podiatrist
  • San Antonio, TX
National Provider Identifier
1407820152
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1619 Issued in TX
Practice address
2829 Babcock Rd Ste 700
San Antonio, TX 78229-6015
Phone
(210) 593-1435
Fax
(210) 615-0465
NPI assigned
Feb 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1619 TX Primary

Addresses

Primary practice location

2829 Babcock Rd Ste 700
San Antonio, TX 78229-6015

Mailing address

400 Concord Plaza Dr Ste 300
San Antonio, TX 78216-6991
Phone (210) 804-5416

Other practice location 1

19138 US Highway 281 N Ste 100
San Antonio, TX 78258-4988
Phone (210) 593-1435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20070515000412 TX Practitioner - Podiatry 3274639240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The San Antonio Orthopaedic Group LLPGroup PAC ID 6800798794, 143 clinicians

Practice addresses (Care Compare)

2829 Babcock Rd
Suite 700
San Antonio, TX 78229-6015
Phone (210) 804-5400

Merit-based Incentive Payment System (MIPS)

Final score
79.86 of 100Reported as group
Quality
65.93
Promoting interoperability
94
Improvement activities
40
Cost
71.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1619TXMDOrthotist

Practice roles

OrganizationSpecialtyStatusNew patients
The San Antonio Orthopaedic Group, LLP CurrentSince Sep 1, 2014 Accepting new patients
The San Antonio Orthopaedic Group, LLP CurrentSince Sep 1, 2014 Accepting new patients
Foot and Ankle Treatment Center of Chicago, LLC Foot & Ankle Surgery PastSince Dec 21, 2006 Accepting new patients
Trinity Regional Medical Center Past Accepting new patients

Locations

400 Concord Plaza Dr
Ste 300
San Antonio, TX 78216
Phone (210) 804-5416

19138 US Highway 281 N
Ste 100
San Antonio, TX 78258
Phone (210) 593-1435

1200 Brooklyn Ave
Ste 320
San Antonio, TX 78212
Phone (210) 225-5741

2829 Babcock Rd
Ste 700
San Antonio, TX 78229
Phone (210) 396-5270

Interoperability endpoints

  • Direct secure messaging: jessica.rutstein.1@94.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1407820152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CONCORD PLAZA DR STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166991",
            "telephone_number": "210-804-5416",
            "fax_number": "210-678-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 BABCOCK RD STE 700",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296015",
            "telephone_number": "210-593-1435",
            "fax_number": "210-615-0465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19138 US Highway 281 N Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584988",
            "country_code": "US",
            "telephone_number": "210-593-1435",
            "fax_number": "210-615-0465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTSTEIN",
        "first_name": "JESSICA",
        "middle_name": "FAY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.