PAMELA HELLERMAN RUTKOSKI M.D. NPI 1932128246

NPI Information

  • NPI: 1932128246
  • Provider Name: PAMELA HELLERMAN RUTKOSKI, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 990 THOMPSON ST
    JERSEY SHORE, PA
    ZIP 17740
  • Phone: (570) 398-2600

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NPI Details

Pamela Hellerman Rutkoski, M.D. is a family medicine in Jersey Shore, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Pamela Hellerman Rutkoski, M.D. NPI is 1932128246. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

990 THOMPSON ST
JERSEY SHORE, PA
ZIP 17740-727
Phone: (570) 398-2600
Fax: (570) 398-2055

The NPI 1932128246 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 7/18/2006 and was last updated on 5/13/2014.

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
1207Q00000XFamily MedicineMD034656EPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1101876215 0002MEDICAIDPENNSYLVANIA
2B42266OTHERPENNSYLVANIAHEALTH AMERICA
3118438707OTHERPENNSYLVANIADEPARTMENT OF LABOR
403232501OTHERPENNSYLVANIACAPITAL BLUE CROSS
503232501OTHERPENNSYLVANIAKEYSTONE
6080154392OTHERPENNSYLVANIARAILROAD MEDICARE
7232809429OTHERPENNSYLVANIATRICARE
8B42266MEDICARE UPINPENNSYLVANIA
9487654OTHERPENNSYLVANIABLUE SHIELD
10487654MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
1170209C245OTHERPENNSYLVANIAGEISINGER

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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