NPIMap

Individual provider Active NPI

Scott Burns Ruhle

  • Physician Assistant
  • Royal Oak, MI
National Provider Identifier
1942693056
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601010000 Issued in MI
Practice address
5004 Mansfield Ave Apt 206
Royal Oak, MI 48073-1152
Phone
(248) 797-2185
NPI assigned
Mar 13, 2015
Last updated
Aug 31, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601010000 MI Primary
Student in an Organized Health Care Education/Training Program 390200000X NU
Athletic Trainer 2255A2300X NU

Addresses

Primary practice location

5004 Mansfield Ave Apt 206
Royal Oak, MI 48073-1152

Mailing address

5004 Mansfield Ave Apt 206
Royal Oak, MI 48073-1152
Phone (248) 797-2185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210129000093 MI Practitioner - Physician Assistant 9537573704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

19229 Mack Ave
Grosse Pointe Woods, MI 48236-2857

22101 Moross Rd
Detroit, MI 48236-2148
Phone (586) 753-0011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince Dec 30, 2020 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Dec 30, 2020 Accepting new patients

Locations

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

4014 S River Rd
Ste 1
East China, MI 48054
Phone (810) 326-1229

1901 Star Batt Dr
Ste 100C
Rochester Hills, MI 48309
Phone (248) 844-4000

2800 Livernois Rd
Ste 500
Troy, MI 48083
Phone (586) 753-0400

Interoperability endpoints

  • Direct secure messaging: sruhle1149767@direct.hfhs.org

Organizations & group practices 3

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 7

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": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1942693056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 MANSFIELD AVE APT 206",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480731152",
            "telephone_number": "248-797-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 MANSFIELD AVE APT 206",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480731152",
            "telephone_number": "248-797-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUHLE",
        "first_name": "SCOTT",
        "middle_name": "BURNS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-13",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010000",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.