Individual provider Active NPI

Daniel Ian Ruter, MD

  • Plastic and Reconstructive Surgery Physician
  • Syracuse, NY
National Provider Identifier
1932605490
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
330934 Issued in NY
Practice address
3107 E Genesee St
Syracuse, NY 13224-1646
Phone
(315) 299-5313
NPI assigned
Apr 3, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 330934 NY Primary

Addresses

Primary practice location

3107 E Genesee St
Syracuse, NY 13224-1646

Mailing address

3107 E Genesee St
Syracuse, NY 13224-1646
Phone (315) 299-5313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240710002022 NY Practitioner - Plastic and Reconstructive Surgery 4486990686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Ohio State University College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Syracuse Plastic Surgery, PLLCGroup PAC ID 5799106910, 6 clinicians

Practice addresses (Care Compare)

3107 E Genesee St
Syracuse, NY 13224-1646
Phone (315) 299-5313

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
330934NYMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse Plastic Surgery, PLLC CurrentSince Sep 5, 2024 Accepting new patients

Locations

3107 E Genesee St
Syracuse, NY 13224
Phone (315) 299-5313

Interoperability endpoints

  • Direct secure messaging: druter29079@albanymed.direct-ci.com

Organizations & group practices 1

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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1932605490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 E GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241646",
            "telephone_number": "315-299-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 E GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241646",
            "telephone_number": "315-299-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTER",
        "first_name": "DANIEL",
        "middle_name": "IAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "330934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.