RUTH LOUISE VAN DER HEIDE
NPI 1013614205
Physician Assistant in Syracuse, NY
About Ruth Louise Van Der Heide NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUTH LOUISE VAN DER HEIDE (NPI 1013614205) is an individual physician assistant in Syracuse, New York, licensed in New York (033052) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with Crouse Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ruth Louise Van Der Heide is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Crouse Hospital
Acute Care Hospitals · Syracuse, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SYRACUSE, NY 13210
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ruth Van Der Heide's NPI number?
The NPI number for Ruth Van Der Heide is 1013614205. It was assigned to this individual provider in the NPPES registry on February 8, 2023.
Where is Ruth Van Der Heide located?
Ruth Van Der Heide practices at 739 Irving Ave Ste 600, Syracuse, NY 13210. The listed phone number is (315) 701-2550.
What is Ruth Van Der Heide's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Ruth Van Der Heide enrolled in Medicare?
Yes. Ruth Van Der Heide is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Ruth Van Der Heide affiliated with any hospitals?
According to CMS data, Ruth Van Der Heide is affiliated with Crouse Hospital.
When was this NPI record last updated?
The NPPES record for Ruth Van Der Heide was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ruth Louise Van Der Heide · NPI 1013614205
Physician Assistant physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since February 8, 2023.
## Identity
- **NPI:** 1013614205 (Entity type: Individual)
- **Enumerated:** February 8, 2023
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 033052 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 739 IRVING AVE STE 600, Syracuse, NY 13210-1663
- **Phone:** (315) 701-2550 · **Fax:** (315) 701-2551
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** January 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1013614205) · Data from the CMS NPPES public registry.