Matthew Ivan Rusilko, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

11598 Issued in FL

Practice address

1819 West Ave Unit 6
Miami Beach, FL 33139-1440

Phone

(305) 458-7332

NPI assigned

Mar 5, 2012

Last updated

Apr 7, 2026By the provider in NPPES

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

Other names 1

• Dr. Ivan Rusilko Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Celelra Inc

  • Augmentative Communication Clinic/Center
  • Miami Beach, FL
  • NPI 1972466522
  NPD Authorized official

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1609140904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 BRICKELL AVE",
            "address_2": "MIAMI INSTITUTE FOUR SEASONS SKY LOBBY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33131",
            "telephone_number": "305-624-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 WEST AVE UNIT 6",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331391440",
            "telephone_number": "305-458-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSILKO",
        "first_name": "MATTHEW",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-05",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "11598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVAN",
            "last_name": "RUSILKO",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Iraj Pamela Rueda, APRN
• Iris Ruiz Perez
• Marnie Ruiz
• Nicole Christine Ruiz, MD
• Paola Andrea Ruiz, APRN
• Anderson Russell, PT,DPT
• Melanie Ryan
• Nicholas J Sabo, D.D.S.
• Victor Sabo, DDS
• Edna Sacdalan, ARNP

• General Practice Physician in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.