Individual provider Active NPI

Jeffrey Guy Ruscitto, D.C.

  • Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1669565859
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC005301L Issued in PA
Practice address
5400 Keeport Dr
Pittsburgh, PA 15236-3006
Phone
(412) 655-8171
Fax
(412) 655-7232
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC005301L PA Primary

Addresses

Primary practice location

5400 Keeport Dr
Pittsburgh, PA 15236-3006

Mailing address

5400 Keeport Dr
Pittsburgh, PA 15236-3006
Phone (412) 655-8171

Other identifiers 11

IdentifierTypeStateIssuer
409534OtherHEALTH AMERICA
RU739138OtherBLUE CROSS/BLUESHIELD
251741468OtherDEVON
650526OtherACN GROUP
310901OtherUPMC
11026326OtherCAQH
01882363MedicaidPA
251741468OtherUNITED HEALTHCARE
409534OtherHEALTH ASSURANCE
1020542OtherAMERICAN SPECIALTY HEALTH
1605006001OtherCIGNA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080218000313 PA Practitioner - ChiropracticPractitioner - Physical Medicine and RehabilitationPractitioner - Preventive Medicine 3678656469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation, Preventive Medicine
Education
Palmer College Chiropractic - Davenport, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5400 Keeport Dr
Pittsburgh, PA 15236-3006
Phone (412) 655-8171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeforce Chiropractic Incorporated Chiropractor CurrentSince Jan 2, 2002 Accepting new patients

Locations

5400 Keeport Dr
Pittsburgh, PA 15236
Phone (412) 655-8171

125 Knoedler Rd
Pittsburgh, PA 15236
Phone (412) 655-8171

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1669565859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 KEEPORT DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152363006",
            "telephone_number": "412-655-8171",
            "fax_number": "412-655-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 KEEPORT DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152363006",
            "telephone_number": "412-655-8171",
            "fax_number": "412-655-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSCITTO",
        "first_name": "JEFFREY",
        "middle_name": "GUY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005301L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "409534",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUESHIELD",
            "identifier": "RU739138",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVON",
            "identifier": "251741468",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP",
            "identifier": "650526",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "310901",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11026326",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01882363",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "251741468",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE",
            "identifier": "409534",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPECIALTY HEALTH",
            "identifier": "1020542",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1605006001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.