Active NPI
Megan Leila Sue Rutigliano, PA-C
- Physician Assistant
- Lexington, KY
National Provider Identifier
1508384512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA3044
- Practice address
- 1401 Harrodsburg Rd Ste C100
Lexington, KY 40504-1780 - Phone
- (859) 278-4960
- Fax
- (859) 277-2840
- NPI assigned
- Aug 30, 2017
- Last updated
- Nov 14, 2022
- Sex
- Female
- 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 | PA3044 | KY | Primary |
Addresses
Primary practice location
1401 Harrodsburg Rd Ste C100
Lexington, KY 40504-1780
Mailing address
1401 Harrodsburg Rd Ste C100
Lexington, KY 40504-1780
Phone (859) 278-4960
Other practice location 1
2350 Regency Rd Ste A
Lexington, KY 40503-2351
Phone (859) 278-4960
Other names 1
- Megan Leila Sue Wakefield
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- mrutigliano312650@direct.stlukeshealth.org
Organizations & group practices 2
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 Fayette Surgical Associates
- Surgery Physician
- Lexington, KY
- NPI 1831140565
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1508384512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 HARRODSBURG RD STE C100",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405041780",
"telephone_number": "859-278-4960",
"fax_number": "859-277-2840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 HARRODSBURG RD STE C100",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405041780",
"telephone_number": "859-278-4960",
"fax_number": "859-277-2840"
}
],
"practiceLocations": [
{
"address_1": "2350 Regency Rd Ste A",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405032351",
"country_code": "US",
"telephone_number": "859-278-4960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUTIGLIANO",
"first_name": "MEGAN",
"middle_name": "LEILA SUE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-30",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA3044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "WAKEFIELD",
"middle_name": "LEILA SUE",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.