Individual provider Active NPI

Veronica Rutt, DO

  • MOHS-Micrographic Surgery Physician
  • Allentown, PA
National Provider Identifier
1922418516
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
OS019583 Issued in PA
Practice address
401 N 17TH St Ste 311
Allentown, PA 18104-5051
Phone
(610) 969-4470
NPI assigned
May 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X OS019583 PA Primary

Addresses

Primary practice location

401 N 17TH St Ste 311
Allentown, PA 18104-5051

Mailing address

1665 Valley Center Pkwy Ste 120
Bethlehem, PA 18017-2353
Phone (610) 868-3150

Other practice location 1

1665 Valley Center Pkwy Ste 120
Bethlehem, PA 18017-2353
Phone (610) 868-3150

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address veronica@zaladonis.emadirect.md
Direct Messaging Address veronica@zaladonis.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180521000899 MI Practitioner - Dermatology 9739444860 Reassigns benefits to 1 organization
I20230329000870 PA Practitioner - Dermatology 9739444860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Philadelphia College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Health Partners Community Health CenterGroup PAC ID 4284065327, shared by 14 NPIs, 121 clinicians
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

400 N 17TH St
Allentown, PA 18104-5052

401 N 17TH St
105 LV Specialty Care Physicians Practice
Allentown, PA 18104-5049
Phone (610) 969-4470

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133

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
OS019583PAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Dec 15, 2022 Accepting new patients
Iha Health Services Corporation Dermatology CurrentSince Jul 1, 2018 Accepting new patients
Joseph J Zaladonis, Jr, MD, PC Dermatology CurrentSince Oct 1, 2019 Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 15, 2022 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Iha Health Service Corporation CurrentSince Jul 1, 2018 Accepting new patients
Iha Health Services Corporation Current Accepting new patients

Locations

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

5333 McAuley Dr
Rm 5003
Ypsilanti, MI 48197
Phone (734) 712-3376

2100 Mack Blvd
Fl 4
Allentown, PA 18103

401 N 17th St
Ste 105
Allentown, PA 18104
Phone (610) 432-2013

401 N 17th St
Ste 311
Allentown, PA 18104
Phone (610) 821-4920

1259 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 402-1757

1665 Valley Center Pkwy
Ste 120
Bethlehem, PA 18017
Phone (610) 868-3150

Organizations & group practices 8

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.

Hospital & facility affiliations 11

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": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1922418516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 VALLEY CENTER PKWY STE 120",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180172353",
            "telephone_number": "610-868-3150",
            "fax_number": "610-868-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N 17TH ST STE 311",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045051",
            "telephone_number": "610-969-4470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1665 Valley Center Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180172353",
            "country_code": "US",
            "telephone_number": "610-868-3150",
            "fax_number": "610-868-3156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTT",
        "first_name": "VERONICA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "PA",
            "license": "OS019583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "veronica@zaladonis.emadirect.md",
            "affiliation": "N",
            "address_1": "1665 Valley Center Pkwy Ste 120",
            "city": "Bethlehem",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180172353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "veronica@zaladonis.emadirect.md",
            "affiliation": "N",
            "address_1": "1665 Valley Center Pkwy Ste 120",
            "city": "Bethlehem",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180172353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.