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JACK RUTKOWSKI MD
NPI 1073602520
Internal Medicine in Independence, OH

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
4400 ROCKSIDE RD, SUITE 2100, INDEPENDENCE, OH 44131(216) 573-1300 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack Rutkowski Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK RUTKOWSKI MD (NPI 1073602520) is an individual internal medicine provider in Independence, Ohio, licensed in Ohio (35-088270) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Crystal Clinic Orthopaedic Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1073602520
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJACK RUTKOWSKICredential: MD
Location Address4400 ROCKSIDE RD, SUITE 2100Independence, OH 44131-2109
Mailing Address4400 Rockside Rd, Suite 2100Independence, OH 44131-2109 · (216) 573-1300
Phone(216) 573-1300
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 12, 2006
Last NPPES UpdateSeptember 16, 2020
NPPES CertifiedSeptember 16, 2020
✔ NPI 1073602520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35-088270
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4400 ROCKSIDE RD, Independence, OH 44131
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Other Identifiers 5

Other745390OH · Buckeye
OtherT88270OH · Summacare
Medicaid2698540OH
Other000000500020OH · Anthem
Other000000590092OH · Anthem Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare and more.Insurance ›

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

Jack Rutkowski Md 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.

PECOS PAC ID3274530514
PECOS Enrollment IDI20061031000183
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
238 services107 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
95 services59 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
25 services22 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
17 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Crystal Clinic Orthopaedic Center

Acute Care Hospitals · Akron, OH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number360351
Location3557 Embassy ParkwayAkron, OH 44333 · Summit County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44131 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers15 claims15 services$3.97 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUGUSTO TORRES MD
Surgery
4400 ROCKSIDE RD, SUITE 2200
INDEPENDENCE, OH 44131
Cuyahoga County (216) 363-7075
MARYMOUNT PRIMARY CARE SERVICES, INC
Internal Medicine
4400 ROCKSIDE RD, SUITE 2100
INDEPENDENCE, OH 44131
Cuyahoga County (216) 573-1300
ROBERT J RUTKOWSKI MD
Internal Medicine
4400 ROCKSIDE RD, SUITE 2100
INDEPENDENCE, OH 44131
Cuyahoga County (216) 573-1300
VESTIBULAR DIAGNOSICS, LLC
Clinical Medical Laboratory
4400 ROCKSIDE RD
INDEPENDENCE, OH 44131
Cuyahoga County (440) 498-9723
TWO BROTHERS ENTERPRISES INC
Internal Medicine
4400 ROCKSIDE RD, SUITE 2100
INDEPENDENCE, OH 44131
Cuyahoga County (216) 573-1300

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 Jack Rutkowski's NPI number?

The NPI number for Jack Rutkowski is 1073602520. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Jack Rutkowski located?

Jack Rutkowski practices at 4400 Rockside Rd Suite 2100, Independence, OH 44131. The listed phone number is (216) 573-1300.

What is Jack Rutkowski's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jack Rutkowski enrolled in Medicare?

Yes. Jack Rutkowski 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.

What insurance does Jack Rutkowski accept?

Health plans from CareSource, MedMutual, Molina Healthcare and UnitedHealthcare list Jack Rutkowski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jack Rutkowski affiliated with any hospitals?

According to CMS data, Jack Rutkowski is affiliated with Crystal Clinic Orthopaedic Center.

When was this NPI record last updated?

The NPPES record for Jack Rutkowski was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.