Individual provider Active NPI

Megan Leila Sue Rutigliano, PA-C

  • Physician Assistant
  • Lexington, KY
National Provider Identifier
1508384512
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3044 Issued in KY
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210818000419 TX Practitioner - Physician Assistant 5890052815 Reassigns benefits to 1 organization
I20221212002644 KY Practitioner - Physician Assistant 5890052815 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.