Individual provider Active NPI

Ernest A Ruse, MD

  • Sports Medicine (Internal Medicine) Physician
  • Cullman, AL
National Provider Identifier
1942232822
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
00027474 Issued in AL
Practice address
1890 Al Highway 157
Suite 300
Cullman, AL 35058-3601
Phone
(256) 737-8000
Fax
(256) 737-8058
NPI assigned
Jul 7, 2006
Last updated
Feb 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) Physician 207RS0010X 00027474 AL Primary

Addresses

Primary practice location

1890 Al Highway 157
Suite 300
Cullman, AL 35058-3601

Mailing address

1890 Al Highway 157
Suite 300
Cullman, AL 35058-3601
Phone (256) 737-8000

Other identifiers 1

IdentifierTypeStateIssuer
009938043MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20060817000357 AL Practitioner - Sports MedicinePractitioner - Internal Medicine 6002819836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Internal Medicine
Education
Rutgers New Jersey Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cullman Internal Medicine, PCGroup PAC ID 2365354339, 28 clinicians

Practice addresses (Care Compare)

1890 Al Hwy 157
Suite 300
Cullman, AL 35058-0689
Phone (256) 737-2100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00027474ALMDSports Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC CurrentSince Apr 17, 2018 Accepting new patients
Cullman Internal Medicine, PC CurrentSince Sep 1, 2007 Accepting new patients
American Family Care, LLC CurrentSince Apr 17, 2018 Accepting new patients
Inphynet Contracting Services LLC Past Accepting new patients

Locations

1890 AL Highway 157
Cullman, AL 35058
Phone (256) 737-8000

1890 AL Highway 157
Ste 300
Cullman, AL 35058
Phone (256) 737-2100

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

Interoperability endpoints

  • Direct secure messaging: ernest.ruse.cullmaninternalmedicine@cim.direct.systemedx.com

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1942232822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 AL HIGHWAY 157",
            "address_2": "SUITE 300",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350583601",
            "telephone_number": "256-737-8000",
            "fax_number": "256-737-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 AL HIGHWAY 157",
            "address_2": "SUITE 300",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350583601",
            "telephone_number": "256-737-8000",
            "fax_number": "256-737-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSE",
        "first_name": "ERNEST",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "AL",
            "license": "00027474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009938043",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.