Individual provider Active NPI

Justin Michael Rutt, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • East Lansing, MI
National Provider Identifier
1578950804
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
1578950804 Issued in MI
Practice address
250 E Saginaw St
East Lansing, MI 48823-2740
Phone
(517) 337-3080
NPI assigned
Apr 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101021600 MI
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 1578950804 MI Primary

Addresses

Primary practice location

250 E Saginaw St
East Lansing, MI 48823-2740

Mailing address

7228 Werkner Rd
Chelsea, MI 48118-9400
Phone (348) 883-5463

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jrutt612162@direct.hfhs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180628001363 MI Practitioner - Family Practice 3678829967 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Promedica Central Corporation of MichiganGroup PAC ID 7012902265, 112 clinicians

Practice addresses (Care Compare)

501 E Cummins St
C
Tecumseh, MI 49286-2070
Phone (517) 423-3070

Hospital & facility affiliations

  • Promedica Charles and Virginia Hickman Hospital Hospital, Adrian, MI, CCN 230005
  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1578950804MIMDNeuromusculoskeletal Medicine & OMM Physician
5101021600MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Corporation of Michigan Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Iha Health Services Corporation CurrentSince Jul 20, 2018 Accepting new patients
Care Free Medical, Inc Family Medicine CurrentSince Jun 1, 2018 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Iha Health Service Corporation CurrentSince Jul 20, 2018 Accepting new patients

Locations

4200 Whitehall Dr
Ste 150
Ann Arbor, MI 48105
Phone (734) 995-0308

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

1115 S Pennsylvania Ave
Ste 101
Lansing, MI 48912
Phone (517) 346-4700

1255 E M 36
Pinckney, MI 48169
Phone (734) 878-1000

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

501 E Cummins St
#C
Tecumseh, MI 49286

200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883

501 E Cummins St
Tecumseh, MI 49286
Phone (517) 423-2960

Interoperability endpoints

  • Direct secure messaging: jrutt612162@direct.hfhs.org

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1578950804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7228 WERKNER RD",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481189400",
            "telephone_number": "348-883-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E SAGINAW ST",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232740",
            "telephone_number": "517-337-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTT",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-24",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101021600",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MI",
            "license": "1578950804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrutt612162@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "3235 E Michigan Ave",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492023971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.