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JAMES E RUETHER MD
NPI 1154391928
Internal Medicine in Newark, DE

Active since January 25, 2006PECOS EnrolledAccepts Medicare Assignment
200 HYGEIA DRIVE, SUITE 2100, NEWARK, DE 19713(302) 623-0188(302) 623-0117 Get Directions Write a Review

NPPES record last updated: June 8, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About James E Ruether Md NPPES

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

JAMES E RUETHER MD (NPI 1154391928) is an individual internal medicine provider in Newark, Delaware, licensed in Delaware (C10004869) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1154391928
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES E RUETHERCredential: MD
Location Address200 HYGEIA DRIVE, SUITE 2100Newark, DE 19713-2049
Mailing Address200 Hygeia Drive, Suite 2100Newark, DE 19713-2049 · (302) 623-0188 · Fax (302) 623-0117
Phone(302) 623-0188
Fax(302) 623-0117
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJanuary 25, 2006
Last NPPES UpdateJune 8, 2011
✔ NPI 1154391928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in DE · C10004869
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.
200 HYGEIA DRIVE, Newark, DE 19713
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Other Identifiers 3

Medicare ID-Type Unspecified007812C37
Medicare UPING43226
Medicaid0000731201DE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.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

James E Ruether 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 ID4789748013
PECOS Enrollment IDI20090130000297
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
215 services110 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
103 services84 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
77 services77 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
39 services24 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$60.60 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 18

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

AJEETPAL S HANS DO
Internal Medicine
200 HYGEIA DRIVE, SUITE 2100
NEWARK, DE 19713
New Castle County (302) 623-0188
ANUJA MOHLA D.O.
Internal Medicine
200 HYGEIA DRIVE, SUITE 2100
NEWARK, DE 19713
New Castle County (302) 623-0188
DR. JENNIFER BRETTLER DO
Internal Medicine
200 HYGEIA DRIVE, SUITE 2100
NEWARK, DE 19713
New Castle County (302) 623-0188
RAGU P SANJEEV MD
Internal Medicine
200 HYGEIA DRIVE, SUITE 2100
NEWARK, DE 19713
New Castle County (302) 623-0188
SAYYEDA ANN UZ ZAHRA MD
Psychiatry & Neurology (Neurology)
200 HYGEIA DRIVE, SUITE 1420
NEWARK, DE 19713
New Castle County (302) 623-3017
SRIHARI D NAIR M.D.
Pediatrics
200 HYGEIA DRIVE, SUITE 2502
NEWARK, DE 19713
New Castle County (302) 623-7362
LAUREN NICOLE DOUGLAS MD
Internal Medicine
200 HYGEIA DRIVE, SUITE 2100
NEWARK, DE 19713
New Castle County (302) 388-8517
ALAN GREENGLASS MD
Internal Medicine
200 HYGEIA DRIVE, CHRISTIANA CARE HEATLH SERVICES INC SUITE 1201
NEWARK, DE 19713
New Castle County (302) 623-0117

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 James Ruether's NPI number?

The NPI number for James Ruether is 1154391928. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is James Ruether located?

James Ruether practices at 200 Hygeia Drive Suite 2100, Newark, DE 19713. The listed phone number is (302) 623-0188.

What is James Ruether's specialty?

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

Is James Ruether enrolled in Medicare?

Yes. James Ruether 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 James Ruether accept?

Health plans from AmeriHealth Caritas Next list James Ruether 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.

When was this NPI record last updated?

The NPPES record for James Ruether was last updated on June 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.