Individual provider Active NPI

Gail Monica Rucker, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • St Thomas, VI
National Provider Identifier
1487738308
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1475 Issued in VI
Practice address
9151 Estate Thomas Ste 206
Foothills Professional BLDG.
St Thomas, VI 00802-3634
Phone
(340) 779-2663
Fax
(340) 779-2443
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1475 VI Primary
Foot Surgery Podiatrist 213ES0131X PO445 DC

Addresses

Primary practice location

9151 Estate Thomas Ste 206
Foothills Professional BLDG.
St Thomas, VI 00802-3634

Mailing address

9160 Estate Thomas
St Thomas, VI 00802-3641
Phone (340) 779-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PO445DCMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Foot Care, LLC Current Accepting new patients
Comprehensive Orthopedics LLC CurrentSince Jan 28, 2013 Accepting new patients
Myrah Keating Smith Community Health Center Past Accepting new patients
Greater Southeast Community Hospital Corp I Past Accepting new patients

Locations

9151 Estate Thomas
Ste 206
St Thomas, VI 00802

9151 Estate Thomas
St Thomas, VI 00802
Phone (340) 774-1531

9048 Sugar Est
St Thomas, VI 00802
Phone (340) 693-6211

9160 Estate Thomas
St Thomas, VI 00802
Phone (340) 244-0446

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1487738308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9160 ESTATE THOMAS",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008023641",
            "telephone_number": "340-779-2663",
            "fax_number": "340-779-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9151 ESTATE THOMAS STE 206",
            "address_2": "FOOTHILLS PROFESSIONAL BLDG.",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008023634",
            "telephone_number": "340-779-2663",
            "fax_number": "340-779-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "GAIL",
        "middle_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VI",
            "license": "1475",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "DC",
            "license": "PO445",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

Verify at the official NPI Registry.