Active NPI
Margaret Ruyle Rukstalis, MD
- Psychiatry Physician
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101275426
- Practice address
- 720 Gracern Rd Ste 120
Columbia, SC 29210-7657 - Phone
- (803) 296-8765
- NPI assigned
- Jun 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 83178 | SC | |
| Addiction Psychiatry Physician | 2084P0802X | 83178 | SC | |
| Addiction Psychiatry Physician | 2084P0802X | 2016-00110 | NC | |
| Addiction Psychiatry Physician | 2084P0802X | MD057059L | PA | |
| Psychiatry Physician | 2084P0800X | 0101275426 | VA | Primary |
Addresses
Primary practice location
720 Gracern Rd Ste 120
Columbia, SC 29210-7657
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Other practice location 1
613 Surrey Path Trl
Winston Salem, NC 27104-5034
Phone (570) 412-4056
Other practice location 2
300 Palmetto Health Pkwy Ste 200
Columbia, SC 29212-1762
Phone (803) 434-4790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q0011Q | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 981-7925
Hospital & facility affiliations
- Carilion Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101275426 | VA | MD | Psychiatry Physician |
| 2016-00110 | NC | MD | Addiction Psychiatry Physician |
| MD057059L | PA | MD | Addiction Psychiatry Physician |
| 83178 | SC | MD | Addiction Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Medical Center | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients |
Locations
2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
Interoperability endpoints
- mrukstalis154116@direct.carilionclinic.org
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1730123472
-
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1649629619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 S JEFFERSON ST STE 1006",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240111713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 GRACERN RD STE 120",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292107657",
"telephone_number": "803-296-8765"
}
],
"practiceLocations": [
{
"address_1": "613 Surrey Path Trl",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271045034",
"country_code": "US",
"telephone_number": "570-412-4056",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Palmetto Health Pkwy Ste 200",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292121762",
"country_code": "US",
"telephone_number": "803-434-4790",
"fax_number": "803-434-4799",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUKSTALIS",
"first_name": "MARGARET",
"middle_name": "RUYLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-09",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "83178",
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "SC",
"license": "83178",
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "NC",
"license": "2016-00110",
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "PA",
"license": "MD057059L",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101275426",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q0011Q",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.