NPIMap

Individual provider Active NPI

David Rutta, MD

  • Gastroenterology Physician
  • Scranton, PA
National Provider Identifier
1811994452
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD041071E Issued in PA
Practice address
517 Ash St
Scranton, PA 18509-2903
Phone
(570) 969-6100
Fax
(570) 983-0267
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD041071E PA Primary

Addresses

Primary practice location

517 Ash St
Scranton, PA 18509-2903

Mailing address

517 Ash St
Scranton, PA 18509-2903
Phone (570) 969-6100

Other identifiers 1

IdentifierTypeStateIssuer
001132514MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101111000222 PA Practitioner - Gastroenterology 1254225337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Temple University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastrointestinal Consultants of NepaGroup PAC ID 4183518269, 11 clinicians

Practice addresses (Care Compare)

517 Ash St
Suite 1
Scranton, PA 18509-2902
Phone (570) 969-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
36.23 of 100Reported as individual
Quality
26.67
Improvement activities
0
Cost
85.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy587
Upper gastrointestinal (GI) endoscopy for acid reflux228

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD041071EPAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Consultants of Nepa Gastroenterology CurrentSince Aug 11, 1988 Accepting new patients
Gi Consultants of Nepa Past Accepting new patients
The Scranton PA Endoscopy ASC LP Past Accepting new patients

Locations

517 Ash St
Ste 1
Scranton, PA 18509
Phone (570) 696-6100

Interoperability endpoints

  • Direct secure messaging: drutta@giconsultants.medentdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1811994452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 ASH ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185092903",
            "telephone_number": "570-969-6100",
            "fax_number": "570-983-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 ASH ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185092903",
            "telephone_number": "570-969-6100",
            "fax_number": "570-983-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTTA",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD041071E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001132514",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.