Jacob B. Ruthstrom, M.D.

Key facts

NPI

1992970628

Entity type

Individual (NPI type 1)

Primary specialty

Emergency Medicine Physician 207P00000X

License

0434990 (KS)

Practice address

20333 W 151St St
Olathe, KS 66061-5350

Phone

(913) 791-4357

Fax

(913) 381-0979

NPI assigned

Apr 23, 2008

Sex

Male

Sole proprietor

No

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.

• Emergency Medicine Care LLC Emergency Medicine Physician · Olathe, KS · NPI 1356455752
  Medicare reassignment Care Compare group NPD EMERGENCY MEDICINE · KS
• Kansas University Physicians Inc Internal Medicine Physician · Kansas City, KS · NPI 1003858333
  Medicare reassignment Care Compare group NPD KS
• University Health Physicians Internal Medicine Physician · Kansas City, MO · NPI 1669456257
  Medicare reassignment Care Compare group NPD EMERGENCY MEDICINE · MO
• Kansas University Physicians Inc Cardiovascular Disease Physician · Kansas City, KS · NPI 1407637291
  Care Compare group NPD
• Kansas University Physicians Inc Diagnostic Radiology Physician · Kansas City, KS · NPI 1689710519
  Care Compare group
• Kansas University Physicians Inc Neurological Surgery Physician · Kansas City, KS · NPI 1922144856
  Care Compare group
• Kansas University Physicians, Inc. Emergency Medicine Physician · Kansas City, KS · NPI 1467234104
  NPD EMERGENCY MEDICINE
• Miami County Medical Center Inc. Anesthesiology Physician · Paola, KS · NPI 1407603277
  NPD (past)

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Olathe Medical Center Inc General Acute Care Hospital · Olathe, KS · NPI 1144266115
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Emergency Medicine

Education

University of Kansas School of Med (KC/Wich/Sal), 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Medicine Care LLC (8 clinicians)
Kansas University Physicians Inc (1,809 clinicians)
University Health Physicians (344 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Kansas Health System Olathe Hospital Hospital · Olathe, KS · CCN 170049

Merit-based Incentive Payment System (MIPS)

Final score

86.53 of 100 (group)

Quality

59.66

Promoting interoperability

100

Improvement activities

40

Cost

74.66

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in KS, MO

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jruthstrom4372@direct.kuha.org
• Direct secure messaging: jacob.ruthstrom@direct.tmcmed.org

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 2, 2017.

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1992970628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 716",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662010716",
            "telephone_number": "913-642-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20333 W 151ST ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615350",
            "telephone_number": "913-791-4357",
            "fax_number": "913-381-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHSTROM",
        "first_name": "JACOB",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "0434990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9304670",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKC",
            "identifier": "45666017",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "45666017",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992970628",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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