KEINO ANDRE RUTHERFORD MD
NPI 1497807853
Internal Medicine in Sherman Oaks, CA

Q: What is Keino Rutherford's NPI number?

The NPI number for Keino Rutherford is 1497807853. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Q: What is Keino Rutherford's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Keino Rutherford was last updated on July 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since January 17, 2007PECOS EnrolledAccepts Medicare Assignment

92.02/100

CMS Quality Rating

4955 VAN NUYS BLVD STE 308, SHERMAN OAKS, CA 91403 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Keino Andre Rutherford Md NPPES

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

KEINO ANDRE RUTHERFORD MD (NPI 1497807853) is an individual internal medicine provider in Sherman Oaks, California, licensed in California (A80432) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bellflower, and is a graduate of Howard University College Of Medicine (1999).

NPPES Registry Identity

NPI1497807853

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameKEINO ANDRE RUTHERFORDCredential: MD

Location Address4955 VAN NUYS BLVD STE 308Sherman Oaks, CA 91403-1811

Mailing Address4955 Van Nuys Blvd Ste 308Sherman Oaks, CA 91403-1811 · (818) 528-1044 · Fax (818) 817-0845

Sole ProprietorNo

Medical School CMSHoward University College Of MedicineGraduated 1999

Enumeration DateJanuary 17, 2007

Last NPPES UpdateJuly 22, 2019

✔ NPI 1497807853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A80432

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.

4955 VAN NUYS BLVD STE 308, Sherman Oaks, CA 91403

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Secondary Practice Location 1

Location 19400 Rosecrans AveBellflower, CA 90706-2246 · Phone (562) 461-3000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Keino Andre Rutherford 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 ID345438008

PECOS Enrollment IDI20101221001136

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.

Medicare Billing Reassignments

Medicare enrollment records show Keino Rutherford reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Derderyan Medical Group Inc.

Same address

Internal Medicine

4955 VAN NUYS BLVD STE 308
Sherman Oaks, CA 91403

Reassigned Medicare billing, California enrollment
9 clinicians in this Medicare group

NPI 1457712309 (646) 552-1547

Health Lync Medical Group, Inc.

Same address

Geriatric Medicine

4955 VAN NUYS BLVD STE 308
Sherman Oaks, CA 91403

Reassigned Medicare billing, California enrollment
11 clinicians in this Medicare group

NPI 1538908967 (818) 387-6114

Epic Medical Group,inc

Same address

Critical Care Medicine

4940 VAN NUYS BLVD, STE 200
Sherman Oaks, CA 91403

Reassigned Medicare billing, California enrollment
76 clinicians in this Medicare group

NPI 1295178689 (818) 528-1260

Circulus Clinic PC

18 mi

Internal Medicine

21050 CENTRE POINTE PKWY
Santa Clarita, CA 91350

Reassigned Medicare billing, California enrollment
4 clinicians in this Medicare group

NPI 1427938968 (661) 425-7525

Emergency And Acute Care Medical Corporation

120 mi

Emergency Medicine

7901 FROST ST
San Diego, CA 92123

Reassigned Medicare billing, California enrollment
1,437 clinicians in this Medicare group

NPI 1437103942 (858) 939-3400

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

Areas of Expertise CMS Part B claims 17

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

9,900 services711 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

4,091 services846 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

3,935 services744 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.

1,483 services525 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

1,275 services1,057 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

1,261 services841 patients

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.

765 services219 patients

Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483

This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.

655 services643 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

641 services399 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

472 services441 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.

453 services424 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

422 services401 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

317 services84 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

72 services44 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

57 services50 patients

Smoking and tobacco use intensive counseling, more than 10 minutes 99407

This service involves an in-depth discussion about the risks of smoking and tobacco use, spanning over 10 minutes. It provides personalized strategies to quit smoking, including coping techniques for withdrawal symptoms and triggers. The goal is to support your journey towards a healthier lifestyle.

19 services19 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91403 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.02/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.48

Improvement Activities

Cost

66.71

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

7%646 patients1/55-star benchmark: 85%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

1%430 patients1/55-star benchmark: 88%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 659 patients

1%659 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 32

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers12 claims34 services$6.20 avg. paid by Medicare

Tape, waterproof, per 18 square inches A4452

DME-Medical/Surgical Supplies · category DA000N

2 suppliers25 claims4,984 services$0.37 avg. paid by Medicare

Tracheostomy, inner cannula A4623

DME-Orthotic Devices · category DF000N

1 supplier48 claims1,472 services$5.29 avg. paid by Medicare

Collagen based wound filler, dry form, sterile, per gram of collagen A6010

DME-Medical/Surgical Supplies · category DA023N

3 suppliers27 claims1,500 services$29.98 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

2 suppliers19 claims690 services$7.13 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6197

DME-Medical/Surgical Supplies · category DA023N

2 suppliers42 claims1,311 services$15.71 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches A6199

DME-Medical/Surgical Supplies · category DA023N

2 suppliers22 claims1,500 services$5.09 avg. paid by Medicare

Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6203

DME-Medical/Surgical Supplies · category DA023N

2 suppliers22 claims322 services$3.26 avg. paid by Medicare

Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222

DME-Medical/Surgical Supplies · category DA023N

1 supplier13 claims450 services$2.06 avg. paid by Medicare

Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6252

DME-Medical/Surgical Supplies · category DA023N

3 suppliers16 claims630 services$3.13 avg. paid by Medicare

Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446

DME-Medical/Surgical Supplies · category DA023N

3 suppliers29 claims4,428 services$0.37 avg. paid by Medicare

Tracheostomy tube collar/holder, each A7526

DME-Orthotic Devices · category DF000N

2 suppliers59 claims541 services$3.20 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

2 suppliers85 claims2,455 services$4.45 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

2 suppliers18 claims10,171 services$0.32 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

3 suppliers40 claims20,135 services$0.26 avg. paid by Medicare

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154

Other-Enteral and Parenteral · category OB006N

2 suppliers35 claims16,457 services$0.58 avg. paid by Medicare

Enteral nutrition infusion pump, any type B9002

Other-Enteral and Parenteral · category OB005N

2 suppliers28 claims28 services$54.00 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

3 suppliers22 claims22 services$35.54 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers27 claims38 services$9.43 avg. paid by Medicare

Iv pole E0776

DME-Other DME · category DE000N

2 suppliers62 claims62 services$9.01 avg. paid by Medicare

Manual wheelchair accessory, anti-tipping device, each E0971

DME-Wheelchairs · category DD021N

4 suppliers20 claims40 services$32.78 avg. paid by Medicare

Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each E0973

DME-Wheelchairs · category DD021N

4 suppliers26 claims52 services$58.85 avg. paid by Medicare

Wheelchair accessory, positioning belt/safety belt/pelvic strap, each E0978

DME-Wheelchairs · category DD021N

4 suppliers26 claims26 services$22.60 avg. paid by Medicare

Wheelchair accessory, elevating leg rest, complete assembly, each E0990

DME-Wheelchairs · category DD021N

3 suppliers17 claims34 services$73.67 avg. paid by Medicare

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

6 suppliers45 claims45 services$62.67 avg. paid by Medicare

General use wheelchair seat cushion, width less than 22 inches, any depth E2601

DME-Wheelchairs · category DD021N

4 suppliers26 claims26 services$41.87 avg. paid by Medicare

General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware E2611

DME-Wheelchairs · category DD021N

4 suppliers19 claims19 services$194.29 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

3 suppliers18 claims18 services$17.35 avg. paid by Medicare

Standard hemi (low seat) wheelchair K0002

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$24.13 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

4 suppliers58 claims58 services$26.21 avg. paid by Medicare

Ultralightweight wheelchair K0005

DME-Wheelchairs · category DD000N

3 suppliers17 claims17 services$1,708.01 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier16 claims16 services$4.69 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 16

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

DR. EDMOND DERDERIAN M.D.

Internal Medicine