Dennis Jason Ruditser, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME123760 Issued in FL

Practice address

21297 Olean Blvd Ste a
Port Charlotte, FL 33952-6704

Phone

(855) 979-5700

NPI assigned

Jul 11, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hospitalist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423
• Empath Tidewell Hospice Hospice, Sarasota, FL, CCN 101521
• Hospice of Palm Beach County Inc Hospice, West Palm Beach, FL, CCN 101512
• Hospice by the Sea Inc Hospice, Boca Raton, FL, CCN 101504
• Suncoast Hospice Hospice, Palm Harbor, FL, CCN 101508
• Suncoast Hospice of Hillsborough, LLC Hospice, Brandon, FL, CCN 101567
• Naples Community Hospital Hospital, Naples, FL, CCN 100018

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14267/brand/6/csg/1/fhir/r4

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.

• Millennium Physician Group LLC

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1811122880

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Premier Inpatient Partners LLC

  • Hospitalist Physician
  • Naples, FL
  • NPI 1568916492

  Internal Medicine

  Medicare reassignment NPD
• Millennium Physician Group LLC

  • Family Medicine Physician
  • Brooksville, FL
  • NPI 1073131702
  NPD

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

• Hospice by the Sea Inc

  • Community Based Hospice Care Agency
  • Boca Raton, FL
  • NPI 1134126071
  Care Compare affiliation
• Hospice of Palm Beach County, Inc.

  • Community Based Hospice Care Agency
  • West Palm Beach, FL
  • NPI 1538174263
  Care Compare affiliation
• Naples Community Hospital Inc

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1720085137
  Care Compare affiliation
• Providia Home Care LLC.

  • Home Health Agency
  • Fort Myers, FL
  • NPI 1245409010
  Care Compare affiliation
• Suncoast Hospice of Hillsborough LLC.

  • Community Based Hospice Care Agency
  • Brandon, FL
  • NPI 1679234231
  Care Compare affiliation
• The Hospice of the Florida Suncoast, Inc.

  • Community Based Hospice Care Agency
  • Palm Harbor, FL
  • NPI 1124028204
  Care Compare affiliation
• Tidewell Hospice, Inc.

  • Community Based Hospice Care Agency
  • Sarasota, FL
  • NPI 1417954645
  Care Compare affiliation

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1831454214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21297 OLEAN BLVD STE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526704",
            "telephone_number": "855-979-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDITSER",
        "first_name": "DENNIS",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "287383",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME123760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kayla Rykiel

• Internal Medicine Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.