Individual provider Active NPI

Allan R Rutzen, MD

  • Ophthalmology Physician
  • Severna Park, MD
National Provider Identifier
1700837192
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0051102 Issued in MD
Practice address
489 Ritchie Highway
Ste 200
Severna Park, MD 21146-2944
Phone
(410) 975-0090
Fax
(410) 975-0089
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0051102 MD Primary

Addresses

Primary practice location

489 Ritchie Highway
Ste 200
Severna Park, MD 21146-2944

Mailing address

489 Ritchie Highway
Suite 200
Severna Park, MD 21146-2910
Phone (410) 975-0090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20071010000123 MD Practitioner - Ophthalmology 3476648601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
JS Weill Medical College, Cornell University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rutzen Eye SpecialistsGroup PAC ID 9032204524, 4 clinicians

Practice addresses (Care Compare)

489 Ritchie Hwy
Severna Park, MD 21146-2955
Phone (410) 975-0090

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0051102MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rutzen Eye Specialists Ophthalmology CurrentSince Jul 2, 2007 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

17001 Science Dr
Bowie, MD 20715
Phone (202) 277-6460

489 Ritchie Hwy
Ste 200
Severna Park, MD 21146
Phone (410) 975-0090

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1700837192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 RITCHIE HIGHWAY",
            "address_2": "SUITE 200",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462910",
            "telephone_number": "410-975-0090",
            "fax_number": "410-975-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 RITCHIE HIGHWAY",
            "address_2": "STE 200",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462944",
            "telephone_number": "410-975-0090",
            "fax_number": "410-975-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTZEN",
        "first_name": "ALLAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0051102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

Verify at the official NPI Registry.