Nadia U Rutayisire, OD, MPH

Primary specialty

OptometristTaxonomy code 152W00000X

License

9544TG Issued in TX

Practice address

2407 S Congress Ave Ste 100a
Austin, TX 78704-5505

Phone

(512) 233-6879

NPI assigned

Aug 3, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Berg En Dal PLLCGroup PAC ID 3779682018, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Berg En Dal PLLC

  • Optometrist
  • Austin, TX
  • NPI 1740373141
  Medicare reassignment Care Compare group NPD
• JT Jolly Good Eye Care PLLC

  • Optometrist
  • Austin, TX
  • NPI 1275871675
  Medicare reassignment NPD
• Berg En Dal PLLC

  • Optometrist
  • Austin, TX
  • NPI 1881787281
  NPD
• Empire Vision Center Inc

  • Optometrist
  • Syracuse, NY
  • NPI 1750358826
  NPD (past)
• Empire Vision Center, Inc

  • Eyewear Supplier
  • Attleboro, MA
  • NPI 1730635582
  NPD (past)

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1659502045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 S CONGRESS AVE STE 100A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045505",
            "telephone_number": "512-233-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 S CONGRESS AVE STE 100A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045505",
            "telephone_number": "512-233-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTAYISIRE",
        "first_name": "NADIA",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "OD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9544TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "397309101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Brynn Russell, LCSW
• Taylor Russell
• Taylor J Russell, BCBA
• Sandi Lynn Russom, P.T.
• Jennifer Garvey Rust, P.T.
• Ruth Bruhn PT
• Ruth Hodges
• Joy Ruth, LCSW
• Julia Ruth
• April Rutherford

• Optometrist in Austin, TX
• Providers in Austin, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.

Verify at the official NPI Registry.