NPIMap

Individual provider Active NPI

Hugh Alexander Rutledge, M.D.

  • Internal Medicine Physician
  • Palm Harbor, FL
National Provider Identifier
1437254885
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0022517 Issued in FL
Practice address
34637 US Highway 19 N
Palm Harbor, FL 34684-2152
Phone
(727) 786-1673
Fax
(727) 785-0284
NPI assigned
Sep 13, 2006
Last updated
Nov 9, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0022517 FL Primary

Addresses

Primary practice location

34637 US Highway 19 N
Palm Harbor, FL 34684-2152

Mailing address

34637 U.S. 19 N
Palm Harbor, FL 34684
Phone (727) 786-1673

Other identifiers 4

IdentifierTypeStateIssuer
110008517OtherFLRR MCR #
592149773OtherFLTAX ID#
78103OtherFLBC/BS FL ID#
059240400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100317000589 FL Practitioner - Internal Medicine 8527193499 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Carolina School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians

Practice addresses (Care Compare)

34661 US Hwy 19 N
Palm Harbor, FL 34684-2152
Phone (727) 786-1673

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0022517FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Primary Care Network Inc Internal Medicine CurrentSince Nov 1, 2023 Accepting new patients
Tarpon Spine Center, Inc CurrentSince Sep 1, 2013 Accepting new patients
Tarpon Springs Hospital Foundation Inc CurrentSince Aug 1, 2011 Accepting new patients
Tarpon Springs Hospital Foundation Inc Internal Medicine CurrentSince Aug 1, 2011 Accepting new patients

Locations

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

34637 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 786-1673

1244 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 858-2603

1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000

1395 S Pinellas Ave
#N
Tarpon Springs, FL 34689
Phone (727) 942-5126

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1437254885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34637 U.S. 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34684",
            "telephone_number": "727-786-1673",
            "fax_number": "727-785-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34637 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842152",
            "telephone_number": "727-786-1673",
            "fax_number": "727-785-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "HUGH",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0022517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR #",
            "identifier": "110008517",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "592149773",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS FL ID#",
            "identifier": "78103",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059240400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.