Michael Joseph Rutledge, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

95-338 Issued in NM

Practice address

4801 N Butler Ave
Suite 13101
Farmington, NM 87401-6002

Phone

(505) 564-8300

Fax

(505) 564-8303

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 12, 2025 through Nov 12, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• SSS Skincare and Wellness, LLC Dba Skinsationmd

  • Medical Specialty Clinic/Center
  • Farmington, NM
  • NPI 1881560712
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1568575314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 N BUTLER AVE",
            "address_2": "SUITE 13101",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016002",
            "telephone_number": "505-564-8300",
            "fax_number": "505-564-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 N BUTLER AVE",
            "address_2": "SUITE 13101",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016002",
            "telephone_number": "505-564-8300",
            "fax_number": "505-564-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "95-338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger G. Rung, P.T.
• Elysia Russell, LCSW
• Gordon D. Russell, O.D.
• Lacy Russell, WHNP-BC
• Virginia Russell
• Ryan H Wilson DDS LLC (Canyon Dental Care)
• Quincy Sa'Ena, DO
• Daniel John Sabol, DO
• Ariadna Sadziene-Bessinger, M.D.
• Manuel Saenz

• Family Medicine Physician in Farmington, NM
• Providers in Farmington, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.