Active NPI
Charles Joseph Rukus, PAC
- Physician Assistant
- Silver Spring, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0001968
- Practice address
- 1500 Forest Glen Rd
Silver Spring, MD 20910-1483 - Phone
- (301) 754-7503
- NPI assigned
- Jun 25, 2006
- Last updated
- Oct 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0001968 | MD | Primary |
Addresses
Primary practice location
1500 Forest Glen Rd
Silver Spring, MD 20910-1483
Mailing address
7510 Contee Rd
Laurel, MD 20707-9244
Phone (301) 725-4112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785
1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230
Interoperability endpoints
- crukus1166021@direct.hopkinsmedicine.org
Organizations & group practices 6
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.
-
dba Physicians Now
- Emergency Medicine Physician
- Rockville, MD
- NPI 1427217025
DC
-
- Emergency Medicine Physician
- Silver Spring, MD
- NPI 1851286041
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192665600000",
"number": "1437185790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7510 CONTEE RD",
"city": "LAUREL",
"state": "MD",
"postal_code": "207079244",
"telephone_number": "301-725-4112",
"fax_number": "301-725-0936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 FOREST GLEN RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209101483",
"telephone_number": "301-754-7503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUKUS",
"first_name": "CHARLES",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-25",
"last_updated": "2007-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0001968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.