NPIMap

Individual provider Active NPI

John Daniel Rutkoski, MD, FACS, FASMBS

  • Surgery Physician
  • Cheektowaga, NY
National Provider Identifier
1972761468
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
277897 Issued in NY
Practice address
2625 Harlem Rd Ste 240
Cheektowaga, NY 14225-4031
Phone
(716) 893-0333
Fax
(716) 893-3038
NPI assigned
May 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 277897 NY Primary

Addresses

Primary practice location

2625 Harlem Rd Ste 240
Cheektowaga, NY 14225-4031

Mailing address

2625 Harlem Rd Ste 240
Cheektowaga, NY 14225-4031
Phone (716) 893-0333

Other practice location 1

1520 Third Avenune
New Brighton, PA 15066
Phone (724) 843-3800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jrutkoski@trinitymedicalwny.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20150331000643 NY Practitioner - General Surgery 9931365392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Temple University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians

Practice addresses (Care Compare)

2157 Main St
Buffalo, NY 14214-2648
Phone (716) 837-2400

2625 Harlem Rd
Cheektowaga, NY 14225-4031

3435 Bailey Ave
Buffalo, NY 14215-1194
Phone (716) 835-2966

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux22
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Wny PC CurrentSince Mar 4, 2017 Accepting new patients
Trinity Medical Wny PC Surgery CurrentSince Mar 4, 2017 Accepting new patients
Sisters of Charity Hospital of Buffalo New York Past Accepting new patients
Valley Medical Services, Inc. Surgery Past Accepting new patients
Valley Physician Services, Inc. Past Accepting new patients

Locations

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

2625 Harlem Rd
Ste 160
Cheektowaga, NY 14225
Phone (716) 891-0818

2625 Harlem Rd
Ste 240
Cheektowaga, NY 14225
Phone (716) 893-0333

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

Interoperability endpoints

  • Direct secure messaging: jrutkoski20979@direct.chsbuffalo.org

Organizations & group practices 5

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 8

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": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1972761468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 HARLEM RD STE 240",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254031",
            "telephone_number": "716-893-0333",
            "fax_number": "716-893-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 HARLEM RD STE 240",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254031",
            "telephone_number": "716-893-0333",
            "fax_number": "716-893-3038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 Third Avenune",
            "address_purpose": "LOCATION",
            "city": "New Brighton",
            "state": "PA",
            "postal_code": "15066",
            "country_code": "US",
            "telephone_number": "724-843-3800",
            "fax_number": "724-843-4799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTKOSKI",
        "first_name": "JOHN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD, FACS, FASMBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2021-03-23",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "277897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrutkoski@trinitymedicalwny.org",
            "affiliation": "N",
            "endpointDescription": "Professional Emial",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2625 Harlem Rd Ste 240",
            "city": "Cheektowaga",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142254031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

Verify at the official NPI Registry.