NPIMap

Individual provider Active NPI

James Dull Rutter IV, MD

  • Internal Medicine Physician
  • Grove, OK
National Provider Identifier
1649258369
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21574 Issued in OK
Practice address
900 E 13TH St
Suite 101
Grove, OK 74344-2976
Phone
(918) 786-9900
Fax
(918) 786-9904
NPI assigned
Jan 3, 2006
Last updated
Apr 5, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21574 OK Primary
Pediatrics Physician 208000000X 21574 OK

Addresses

Primary practice location

900 E 13TH St
Suite 101
Grove, OK 74344-2976

Mailing address

5300 N Independence Ave
280
Oklahoma City, OK 73112-5556
Phone (918) 786-9900

Other identifiers 3

IdentifierTypeStateIssuer
209007509MedicaidMO
100103090BMedicaidOK
200505990HMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031231000129 OK Practitioner - Pediatric MedicinePractitioner - Internal Medicine 0840196739 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Grove HospitalGroup PAC ID 0042105835, shared by 4 NPIs, 12 clinicians

Practice addresses (Care Compare)

10 E 13TH St
Grove, OK 74344-5300
Phone (918) 786-1909

216 S 7TH St
Vinita, OK 74301-3720
Phone (918) 256-1500

601 E 13TH St
Grove, OK 74344-2989
Phone (918) 786-2243

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Grove Hospital Current Accepting new patients
Integris Grove Hospital CurrentSince Apr 1, 2021 Accepting new patients
Integris Grove Hospital CurrentSince Apr 1, 2021 Accepting new patients
Integris Ambulatory Care Corporation Internal Medicine CurrentSince Oct 1, 2013 Accepting new patients
Cherokee Nation Past Accepting new patients
Baptist Healthcare of Oklahoma Past Accepting new patients
Shawn Michael Anderson MD LLC PastSince Oct 1, 2013 Accepting new patients
Integris Rural Health Inc Pediatrics Past Accepting new patients

Locations

115 W 13th St
Grove, OK 74344
Phone (918) 786-2226

1310 S Main St
Grove, OK 74344
Phone (918) 787-3630

601 E 13th St
Grove, OK 74344
Phone (918) 786-2277

601 E 13th St
Ste A
Grove, OK 74344
Phone (918) 786-4914

900 E 13th St
Ste 100
Grove, OK 74344
Phone (918) 786-9009

900 E 13th St
Ste 101
Grove, OK 74344
Phone (417) 624-0440

900 E 13th St
Ste 102
Grove, OK 74344
Phone (918) 786-2226

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155

216 S 7th St
Ste 1
Vinita, OK 74301
Phone (918) 256-1500

Interoperability endpoints

  • Direct secure messaging: jrutter9377@direct.integrisok.com

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Integris Health Grove HospitalGrove, OK, CCN 370113 Hospital Corporate Director Jan 1, 2014
Integris Miami HospitalMiami, OK, CCN 370004 Hospital Corporate Director Jul 1, 2016
Integris Home Care NortheastMiami, OK, CCN 377050 Home health agency Corporate Director Jul 1, 2016
Integris Hospice NortheastMiami, OK, CCN 371586 Hospice Corporate Director Jul 1, 2016
Integris Medical Group MiamiMiami, OK, CCN 378548 Rural health clinic Corporate Director Jul 1, 2016
Integris Express Care GroveGrove, OK, CCN 378550 Rural health clinic Corporate Director Jul 1, 2016
Integris Express Care MiamiMiami, OK, CCN 378551 Rural health clinic Corporate Director Jul 1, 2016
Integris Medical Group GroveGrove, OK, CCN 378549 Rural health clinic Contracted Managing Employee
Corporate Director
Operational/Managerial Control		 Apr 1, 2021
Jul 1, 2016
Apr 1, 2021

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1649258369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE",
            "address_2": "280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125556",
            "telephone_number": "918-786-9900",
            "fax_number": "918-786-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E 13TH ST",
            "address_2": "SUITE 101",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743442976",
            "telephone_number": "918-786-9900",
            "fax_number": "918-786-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTTER",
        "first_name": "JAMES",
        "middle_name": "DULL",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "21574",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "21574",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209007509",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100103090B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200505990H",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove, OK

Sources for this page

Verify at the official NPI Registry.