Individual provider Active NPI

Kerry Rut, D.O.

  • Obstetrics & Gynecology Physician
  • Merrick, NY
National Provider Identifier
1831413368
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
243902-1 Issued in NY
Practice address
2276 Merrick Ave
Merrick, NY 11566-4342
Phone
(516) 712-6565
Fax
(516) 217-4049
NPI assigned
Mar 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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 243902-1 NY Primary

Addresses

Primary practice location

2276 Merrick Ave
Merrick, NY 11566-4342

Mailing address

2276 Merrick Ave
Merrick, NY 11566-4342
Phone (516) 712-6565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20130124000019 NY Practitioner - Obstetrics/Gynecology 6507019668 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prine Health Medical Group, PLLCGroup PAC ID 1557600384, 77 clinicians

Practice addresses (Care Compare)

1129 Northern Blvd
Suite 101
Manhasset, NY 11030-3022
Phone (516) 407-2727

31 Merrick Ave
Suite 230
Merrick, NY 11566-3406
Phone (516) 712-6565

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.37
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
243902-1NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prine Health Medical Group, PLLC CurrentSince Jun 1, 2021 Accepting new patients
East Coast Gynecology PC CurrentSince Dec 15, 2025 Accepting new patients
Prine Health Medical Group, PLLC CurrentSince Jun 1, 2021 Accepting new patients

Locations

250 Pettit Ave
Ste 2
Bellmore, NY 11710
Phone (516) 387-7463

370 Old Country Rd
Ste 100
Garden City, NY 11530
Phone (516) 222-1000

1129 Northern Blvd
Ste 101
Manhasset, NY 11030
Phone (516) 365-5570

31 Merrick Ave
Ste 230
Merrick, NY 11566
Phone (516) 377-2820

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: krut307534@nyumc.direct-ci.com
  • Direct secure messaging: krut@prine.curemd.direct-ci.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.

NPI Registry JSON

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1831413368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2276 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664342",
            "telephone_number": "516-712-6565",
            "fax_number": "516-217-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2276 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664342",
            "telephone_number": "516-712-6565",
            "fax_number": "516-217-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUT",
        "first_name": "KERRY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-26",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "243902-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

Verify at the official NPI Registry.