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MICHAEL DAVID RUTKOWSKI MD.
NPI 1568495380
Internal Medicine in Syracuse, NY

Active since July 07, 2006PECOS Enrolled
104 UNION AVENUE, SUITE 806-807, SYRACUSE, NY 13203(315) 474-0542(315) 474-4340 Get Directions Write a Review

NPPES record last updated: January 9, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Michael David Rutkowski Md. NPPES

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

MICHAEL DAVID RUTKOWSKI MD. (NPI 1568495380) is an individual internal medicine provider in Syracuse, New York, licensed in New York (177347) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568495380
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL DAVID RUTKOWSKICredential: MD.
Location Address104 UNION AVENUE, SUITE 806-807Syracuse, NY 13203
Mailing Address5112 West Taft Road, Suite LLiverpool, NY 13088 · (315) 452-2500 · Fax (315) 452-2510
Phone(315) 474-0542
Fax(315) 474-4340
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateJanuary 9, 2014
✔ NPI 1568495380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 177347
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.
104 UNION AVENUE, Syracuse, NY 13203
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Other Identifiers 8

Medicare PIN56564TNY
Medicare PIN56601BNY
Medicare UPINC42866NY
Medicare PIN51626BNY
Medicare PIN51147HNY
Medicare PIN110147402NY
Medicare PIN110168489NY
Medicaid01129799NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael David Rutkowski Md. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13203 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 8

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
19 suppliers66 claims156 services$5.93 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers15 claims15 services$0.99 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
1 supplier12 claims12 services$13.77 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier13 claims13 services$10.92 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
3 suppliers37 claims37 services$61.27 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
4 suppliers14 claims1,826 services$0.03 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

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

NAHED S. ISKANDER MD.
Internal Medicine
104 UNION AVENUE, SUITE 806-807
SYRACUSE, NY 13203
Onondaga County (315) 474-0542

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 Michael Rutkowski's NPI number?

The NPI number for Michael Rutkowski is 1568495380. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Michael Rutkowski located?

Michael Rutkowski practices at 104 Union Avenue Suite 806-807, Syracuse, NY 13203. The listed phone number is (315) 474-0542.

What is Michael Rutkowski's specialty?

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

Is Michael Rutkowski enrolled in Medicare?

Yes. Michael Rutkowski is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Rutkowski was last updated on January 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.