Duke J Ruktanonchai, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD457852 Issued in PA

Practice address

1200 Reedsdale St
Pittsburgh, PA 15233-2109

Phone

(412) 488-4040

Fax

(412) 488-4097

NPI assigned

Aug 17, 2006

Last updated

Nov 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Jefferson Regional Medical Center

  dba Jefferson Hospital Counseling Services

  • Psychiatry Physician
  • Pittsburgh, PA
  • NPI 1891763249
  Medicare reassignment NPD
• Mercy Life Center Corporation

  dba Mercy Behavorial Health

  • Public Health or Welfare Agency
  • Pittsburgh, PA
  • NPI 1720075104
  Medicare reassignment NPD
• Backpack Medical Group, P.C.

  • Clinical Social Worker
  • Elkridge, MD
  • NPI 1851177570
  Authorized official Same address or phone
• Jefferson Regional Medical Center

  • Rehabilitation Hospital Unit
  • Clairton, PA
  • NPI 1013985126
  NPD
• Mercy Life Center Corp

  dba Pittsburgh Mercy Family Health Center

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1073883161
  NPD
• Alliance Clinical Associates SC

  • Psychiatry Physician
  • Wheaton, IL
  • NPI 1144299769
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1629181037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 W GROVE DR",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150446059",
            "telephone_number": "630-306-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 REEDSDALE ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152332109",
            "telephone_number": "412-488-4040",
            "fax_number": "412-488-4097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Blanchard Cir",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601892039",
            "country_code": "US",
            "telephone_number": "630-653-2300 x400",
            "fax_number": "630-653-2895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Carlisle St",
            "address_purpose": "LOCATION",
            "city": "Natrona Heights",
            "state": "PA",
            "postal_code": "150651152",
            "country_code": "US",
            "telephone_number": "412-330-4363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUKTANONCHAI",
        "first_name": "DUKE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036116196",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD457852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "02215643",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036116196",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alejandra Jolie Ruiz, MD
• Brian Nathaniel Ruiz, DO
• Jenny Ruiz, M.D.
• Kristina Loren Rukas, PHARM. D.
• Sean Rukse, RPH
• Maryann Rulapaugh
• Sara Rulapaugh
• Morgan Ruliffson
• Amanda Rulis
• William Rullo, LPC

• Psychiatry Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.