Individual provider Active NPI

Michael A. Cerruti, MD

  • Orthopaedic Surgery Physician
  • Sacramento, CA
National Provider Identifier
1508944240
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G25155 Issued in CA
Practice address
500 University Ave Ste 100
Sacramento, CA 95825-6527
Phone
(916) 437-0570
Fax
(916) 437-0470
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G25155 CA Primary

Addresses

Primary practice location

500 University Ave Ste 100
Sacramento, CA 95825-6527

Mailing address

500 University Ave Ste 100
Sacramento, CA 95825-6527
Phone (916) 437-0570

Other identifiers 1

IdentifierTypeStateIssuer
00G251550MedicaidCA

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: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G25155CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roy M. Rubin, M.D., Inc. Orthopaedic Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michael.cerruti.1@9116.direct.athenahealth.com

Organizations & group practices 1

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1508944240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY AVE STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256527",
            "telephone_number": "916-437-0570",
            "fax_number": "916-437-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY AVE STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256527",
            "telephone_number": "916-437-0570",
            "fax_number": "916-437-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERRUTI",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G25155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G251550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.