Individual provider Active NPI

Michael Preston Rulon, MD

  • Obstetrics & Gynecology Physician
  • Medford, OR
National Provider Identifier
1902901853
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD14214 Issued in OR
Practice address
691 Murphy Rd
Suite 210
Medford, OR 97504-4346
Phone
(541) 779-3520
Fax
(541) 779-3702
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
Yes

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 MD14214 OR Primary

Addresses

Primary practice location

691 Murphy Rd
Suite 210
Medford, OR 97504-4346

Mailing address

691 Murphy Rd
Suite 210
Medford, OR 97504-4346
Phone (541) 779-3520

Other identifiers 4

IdentifierTypeStateIssuer
272161MedicaidOR
MD14214OtherORSTATE ID
000000008488OtherORASANTE/HEALTH FUTURE
276148307118OtherORLIFEWISE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
P3 Medical Group PC PastSince Apr 10, 2025 Accepting new patients
Michael Rulon, M.D., L.L.C. Obstetrics & Gynecology PastSince Mar 9, 2001 Accepting new patients

Organizations & group practices 2

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902901853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 MURPHY RD",
            "address_2": "SUITE 210",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044346",
            "telephone_number": "541-779-3520",
            "fax_number": "541-779-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 MURPHY RD",
            "address_2": "SUITE 210",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044346",
            "telephone_number": "541-779-3520",
            "fax_number": "541-779-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RULON",
        "first_name": "MICHAEL",
        "middle_name": "PRESTON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD14214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272161",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "MD14214",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASANTE/HEALTH FUTURE",
            "identifier": "000000008488",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIFEWISE",
            "identifier": "276148307118",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.