Individual provider Active NPI

Eugene E. Ruckh, D.P.M.

  • Podiatrist
  • Jacksonville, FL
National Provider Identifier
1851352082
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3048 Issued in FL
Practice address
3890 Dunn Ave
Ste 101
Jacksonville, FL 32218-6428
Phone
(904) 619-9338
Fax
(904) 619-9677
NPI assigned
Mar 29, 2006
Last updated
Feb 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO3048 FL Primary

Addresses

Primary practice location

3890 Dunn Ave
Ste 101
Jacksonville, FL 32218-6428

Mailing address

3890 Dunn Ave
Ste 101
Jacksonville, FL 32218-6428
Phone (904) 619-9338

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050324000331 FL Practitioner - Podiatry 0749236503 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3890 Dunn Ave
Suite 101
Jacksonville, FL 32218-6428
Phone (904) 619-9338

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.17 of 100Reported as individual
Quality
61.03
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue25
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reflections Wound Care and Wellness Centers CurrentSince Mar 12, 2022 Accepting new patients
Podiatry Associates of Florida Inc Podiatrist Past Accepting new patients
Podiatry Associates of Florida Inc Podiatrist Past Accepting new patients

Locations

7011 A C Skinner Pkwy
Ste 145
Jacksonville, FL 32256
Phone (904) 300-3400

7643 Gate Pkwy
Unit 1049
Jacksonville, FL 32256

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIBJDD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1851352082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 DUNN AVE",
            "address_2": "STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186428",
            "telephone_number": "904-619-9338",
            "fax_number": "904-619-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 DUNN AVE",
            "address_2": "STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186428",
            "telephone_number": "904-619-9338",
            "fax_number": "904-619-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKH",
        "first_name": "EUGENE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.