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RUBY POTTUKALAM
NPI 1417320920
Physician Assistant - Medical in Meadowbrook, PA

Active since November 05, 2015PECOS EnrolledAccepts Medicare Assignment
1648 HUNTINGDON PIKE, MEADOWBROOK, PA 19046(215) 938-2100 Get Directions Write a Review

NPPES record last updated: September 25, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ruby Pottukalam NPPES

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

RUBY POTTUKALAM (NPI 1417320920) is an individual medical provider in Meadowbrook, Pennsylvania, licensed in Pennsylvania (MA057714) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1417320920
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameRUBY POTTUKALAM
Location Address1648 HUNTINGDON PIKEMeadowbrook, PA 19046-8001
Mailing Address1648 Huntingdon Pike, Medical Staff Office First FloorMeadowbrook, PA 19046-8001 · (215) 938-3450
Phone(215) 938-2100
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 5, 2015
Last NPPES UpdateSeptember 25, 2017
✔ NPI 1417320920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in PA · MA057714✔ Licensed in PA · OA003584
1648 HUNTINGDON PIKE, Meadowbrook, PA 19046
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Ruby Pottukalam 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 ID9638442270
PECOS Enrollment IDI20170905000184
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 6

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.
52 services50 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services41 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
18 services17 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
12 services11 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.

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390115
Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County
Emergency services

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.

JOHN PATRICK TRACEY PT
Physical Therapist (Sports)
1648 HUNTINGDON PIKE
MEADOWBROOK, PA 19046
Montgomery County (215) 935-5621
JONATHAN M CANTALINO DO
Radiology (Radiation Oncology)
1648 HUNTINGDON PIKE
MEADOWBROOK, PA 19046
Montgomery County (215) 938-3555
AFIF ALAIN HANNA M.D.
Pediatrics
1648 HUNTINGDON PIKE
MEADOWBROOK, PA 19046
Montgomery County (215) 947-3000
MICHAEL J KOWALYSHYN MD
Pathology (Anatomic Pathology & Clinical Pathology)
1648 HUNTINGDON PIKE
MEADOWBROOK, PA 19046
Montgomery County (215) 938-3659
LAWRENCE M WALD M.D.
Radiology (Diagnostic Radiology)
1648 HUNTINGDON PIKE, ATTN: RADIOLOGY
MEADOWBROOK, PA 19046
Montgomery County (215) 612-2610
HOLY REDEEMER HEALTH SYSTEM
Psychiatric Unit
1648 HUNTINGDON PIKE
MEADOWBROOK, PA 19046
Montgomery County (215) 947-3000
PANTALEON L FAGEL MD
Pathology (Anatomic Pathology & Clinical Pathology)
1648 HUNTINGDON PIKE
MEADOWBROOK, PA 19046
Montgomery County (215) 938-3655
MEGGY HAMMOND DO
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1648 HUNTINGDON PIKE
MEADOWBROOK, PA 19046
Montgomery County (215) 938-4602

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 Ruby Pottukalam's NPI number?

The NPI number for Ruby Pottukalam is 1417320920. It was assigned to this individual provider in the NPPES registry on November 5, 2015.

Where is Ruby Pottukalam located?

Ruby Pottukalam practices at 1648 Huntingdon Pike, Meadowbrook, PA 19046. The listed phone number is (215) 938-2100.

What is Ruby Pottukalam's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ruby Pottukalam enrolled in Medicare?

Yes. Ruby Pottukalam 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 Ruby Pottukalam accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Ruby Pottukalam 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 Ruby Pottukalam affiliated with any hospitals?

According to CMS data, Ruby Pottukalam is affiliated with Jefferson Health- Northeast.

When was this NPI record last updated?

The NPPES record for Ruby Pottukalam was last updated on September 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.