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PAUL M RUTKOWSKI DO PC
NPI 1164875464
Internal Medicine in Dupont, PA

Active since July 21, 2016
526 MAIN ST, DUPONT, PA 18641(570) 883-8360(570) 883-8362 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 30, 2024, Feb 11, 2017 (2 updates tracked since 2017).

About Paul M Rutkowski Do Pc NPPES

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

PAUL M RUTKOWSKI DO PC (NPI 1164875464) is a healthcare organization registered as an internal medicine in Dupont, Pennsylvania and active in the NPI registry since July 2016. The organization lists Paul M Rutkowski, President, as its authorized official.

NPPES Registry Identity

NPI1164875464
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePAUL M RUTKOWSKI DO PC
Location Address526 MAIN STDupont, PA 18641-1452
Mailing AddressPo Box 1388Kingston, PA 18704-0379 · (570) 288-8881 · Fax (570) 288-8065
Phone(570) 883-8360
Fax(570) 883-8362
Organization SubpartNo
Authorized OfficialPaul M RutkowskiPresident · (570) 285-3570
Enumeration DateJuly 21, 2016
Last NPPES UpdateJuly 16, 20252 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
✔ NPI 1164875464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · OS015467
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.
526 MAIN ST, Dupont, PA 18641
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul M Rutkowski Do Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Paul M Rutkowski Do PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Paul Rutkowski, D.O.
Internal Medicine
NPI 1003078254
526 MAIN ST
Dupont, PA 18641
(570) 883-8360
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Paul M Rutkowski Do PC's NPI number?

The NPI number for Paul M Rutkowski Do PC is 1164875464. It was assigned to this organization in the NPPES registry on July 21, 2016.

Where is Paul M Rutkowski Do PC located?

Paul M Rutkowski Do PC is located at 526 Main St, Dupont, PA 18641. The listed phone number is (570) 883-8360.

What is Paul M Rutkowski Do PC's specialty?

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

Is Paul M Rutkowski Do PC enrolled in Medicare?

Yes. Paul M Rutkowski Do PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Paul M Rutkowski Do PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Paul M Rutkowski Do PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Paul M Rutkowski Do PC was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.