Active NPI
Sara Jane Rutter, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- D84630
- Practice address
- 600 N Wolfe St
Baltimore, MD 21287 - Phone
- (410) 955-5000
- NPI assigned
- May 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | D84630 | MD | Primary |
Addresses
Primary practice location
600 N Wolfe St
Baltimore, MD 21287
Mailing address
9910 Franklin Square Dr # 2110
Baltimore, MD 21236-4902
Phone (410) 933-6421
Other practice location 1
20 York St
Yale-New Haven Hospital
New Haven, CT 06510-3220
Phone (203) 688-4242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D84630 | Other | MD | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Tennessee, HSC, College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
450 E 23Rd St
Fremont, NE 68025-2387
Phone (402) 721-1610
8303 Dodge St
Omaha, NE 68114-4108
Phone (402) 354-4540
933 E Pierce St
Council Bluffs, IA 51503-4626
Phone (712) 396-6111
Hospital & facility affiliations
- The Nebraska Methodist Hospital
- Methodist Fremont Health
- Methodist Jennie Edmundson
- Montgomery County Memorial Hospital
- Saunders Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska Methodist Hospital | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Methodist Fremont Health | Current | Accepting new patients | |
| Jennie Edmundson Memorial Hospital | Current | Accepting new patients |
Locations
933 E Pierce St
Council Bluffs, IA 51503
Phone (712) 328-6000
450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610
207 S Engdahl Ave
Oakland, NE 68045
Phone (402) 685-5683
8303 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-4000
825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370
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.
-
- Emergency Medicine Physician
- Council Bluffs, IA
- NPI 1942251269
-
- Internal Medicine Physician
- Fremont, NE
- NPI 1235618216
-
- Emergency Medicine Physician
- Omaha, NE
- NPI 1689628372
Anatomic Pathology & Clinical Pathology
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Council Bluffs, IA
- NPI 1457448755
-
- Rural Acute Care Hospital
- Fremont, NE
- NPI 1033698543
-
- Rural Acute Care Hospital
- Fremont, NE
- NPI 1376498543
-
- Critical Access Hospital
- Red Oak, IA
- NPI 1376539338
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
- Critical Access Hospital
- Wahoo, NE
- NPI 1831188705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553212800000",
"number": "1831501188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9910 FRANKLIN SQUARE DR # 2110",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212364902",
"telephone_number": "410-933-6421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N WOLFE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21287",
"telephone_number": "410-955-5000"
}
],
"practiceLocations": [
{
"address_1": "20 York St",
"address_2": "Yale-New Haven Hospital",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065103220",
"country_code": "US",
"telephone_number": "203-688-4242",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUTTER",
"first_name": "SARA",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-21",
"last_updated": "2019-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MD",
"license": "D84630",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "D84630",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.