TIMOTHY KIRK RUTTAN MD NPI 1104080514

NPI Information

  • NPI: 1104080514
  • Provider Name: TIMOTHY KIRK RUTTAN, MD
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: DELL CHILDREN'S EMERGENCY DEPARTMENT
    4900 MUELLER BLVD
    AUSTIN, TX
    ZIP 78723
  • Phone: (512) 324-9725

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NPI Details

Timothy Kirk Ruttan, MD is an emergency medicine in Austin, TX. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Timothy Kirk Ruttan, MD NPI is 1104080514. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

DELL CHILDREN'S EMERGENCY DEPARTMENT
4900 MUELLER BLVD
AUSTIN, TX
ZIP 78723
Phone: (512) 324-9725

The NPI 1104080514 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/15/2008 and was last updated on 5/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207PP0204XEmergency MedicinePediatric Emergency MedicineP5885TEXASNo
2207P00000XEmergency MedicineP5885TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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