Albert Clark Ruttinger, D.O.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

2607 Issued in AZ

Practice address

13951 W Grand Ave Ste 203
Surprise, AZ 85374-2436

Phone

(623) 544-4600

Fax

(623) 544-4725

NPI assigned

Feb 11, 2006

Last updated

Feb 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 AZ

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

Specialty

Family PracticeAlso: Geriatric Medicine

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HGGADA
• FHIR API: https://fhir4.healow.com/fhir/r4/HGGADA/Endpoint/HGGADA

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.

• A. Clark Ruttinger D O PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Surprise, AZ
  • NPI 1174706519
  Medicare reassignment NPD Authorized official
• Honorhealth Medical Group, LLC

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1285338343
  NPD (past)
• Sun Health Corporation

  dba Sun Health Neurosurgery Associates

  • Clinic/Center
  • Sun City, AZ
  • NPI 1568412658
  NPD (past)
• The Arizona Center for Colon and Rectal Diseases, PLLC

  • Colon & Rectal Surgery Physician
  • Sun City West, AZ
  • NPI 1689980088
  NPD (past)

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

• Banner del E Webb Medical Center

  • General Acute Care Hospital
  • Sun City West, AZ
  • NPI 1588823553
  Care Compare affiliation

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

{
    "created_epoch": "1139616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675555200000",
    "number": "1740253434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13951 W GRAND AVE STE 203",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742436",
            "telephone_number": "623-544-4600",
            "fax_number": "623-544-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13951 W GRAND AVE STE 203",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742436",
            "telephone_number": "623-544-4600",
            "fax_number": "623-544-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTTINGER",
        "first_name": "ALBERT",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-11",
        "last_updated": "2023-02-05",
        "certification_date": "2023-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "2607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "2607",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Robert Russell, DO
• Kristine A Russell, PHARMD
• Leah Russell, M.ED
• Markaya Russell
• Layna Rutkowski
• Ryan Goldman, PLLC
• Rydr LLC (Transportation)
• Amanda Lauren Ryskowski, NMD
• S. Jayachandran, M.D. P.C.
• Kimberly Sabidong, LPN

• Geriatric Medicine (Family Medicine) Physician in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Geriatric Medicine (Family Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.