Individual provider Active NPI

Kimberly Siebert Rutter, M.D.

  • Obstetrics & Gynecology Physician
  • Austin, TX
National Provider Identifier
1821150822
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L6613 Issued in TX
Practice address
313 E 12TH St
Ste 104
Austin, TX 78701-1954
Phone
(409) 747-0890
Fax
(409) 772-0885
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X L6613 TX Primary

Addresses

Primary practice location

313 E 12TH St
Ste 104
Austin, TX 78701-1954

Mailing address

301 University Blvd
Galveston, TX 77555-1022
Phone (409) 747-0890

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050310000965 TX Practitioner - Obstetrics/Gynecology 9830143999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at Houston, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors Obstetrics & Gynecology CurrentSince Jul 1, 2020 Accepting new patients
Seton Family of Doctors Obstetrics & Gynecology Current Accepting new patients
Seton Family of Doctors CurrentSince Jul 1, 2020 Accepting new patients
Ascension Seton Past Accepting new patients
Central Texas Community Health Centers Past Accepting new patients
Utmb Austin - Initiatives Past Accepting new patients
University of Texas Medical Branch, Austin Initiatives at Utmb Obstetrics & Gynecology Past Accepting new patients
Meredith Davenport MD PLLC Obstetrics & Gynecology PastSince Oct 1, 2012 Accepting new patients
City of Austin Past Accepting new patients

Locations

1345 Philomena St
Ste 4102
Austin, TX 78723
Phone (737) 268-3649

911 W 38th St
Ste 202
Austin, TX 78705
Phone (512) 324-8670

2811 E 2nd St
Austin, TX 78702
Phone (512) 324-4930

313 E 12th St
Ste 104
Austin, TX 78701
Phone (409) 772-7812

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1180 Seton Pkwy
Ste 240
Kyle, TX 78640
Phone (512) 268-0286

1180 Seton Pkwy
Ste 340
Kyle, TX 78640
Phone (512) 504-0851

Interoperability endpoints

  • Direct secure messaging: kimberly.rutter.1@8363.direct.athenahealth.com

Organizations & group practices 9

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821150822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775551022",
            "telephone_number": "409-747-0890",
            "fax_number": "409-772-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 E 12TH ST",
            "address_2": "STE 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011954",
            "telephone_number": "409-747-0890",
            "fax_number": "409-772-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTTER",
        "first_name": "KIMBERLY",
        "middle_name": "SIEBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L6613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.