Individual provider Active NPI

Ezekiel Kimurgor Ruto

  • Home Health Registered Nurse
  • Columbus, OH
National Provider Identifier
1639425853
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
423804 Issued in OH
Practice address
2700 E Dublin Granville Rd Ste 590
Columbus, OH 43231-4094
Phone
(614) 256-2543
NPI assigned
Jul 25, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN.126891-M-IV OH
Home Health Registered Nurse 163WH0200X 423804 OH Primary

Addresses

Primary practice location

2700 E Dublin Granville Rd Ste 590
Columbus, OH 43231-4094

Mailing address

872 Tapestry Park Dr Apt 101
Lewis Center, OH 43035-7849
Phone (614) 256-2543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
423804OHMDHome Health Registered Nurse
PN.126891-M-IVOHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Home Health Agency CurrentSince May 9, 2021 Accepting new patients

Locations

2700 E Dublin Granville Rd
Ste 590
Columbus, OH 43231
Phone (614) 256-2543

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": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1639425853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 TAPESTRY PARK DR APT 101",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430357849",
            "telephone_number": "614-256-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E DUBLIN GRANVILLE RD STE 590",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314094",
            "telephone_number": "614-256-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTO",
        "first_name": "EZEKIEL",
        "middle_name": "KIMURGOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-25",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.126891-M-IV",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "423804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.