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NATHAN RUTILA DO
NPI 1689316671
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 11, 2022PECOS Enrolled
4201 ST. ANTOINE, SUITE 6A, DETROIT, MI 48201(313) 745-4627 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nathan Rutila Do NPPES

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

NATHAN RUTILA DO (NPI 1689316671) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689316671
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNATHAN RUTILACredential: DO
Location Address4201 ST. ANTOINE, SUITE 6ADetroit, MI 48201
Mailing Address4201 St. Antoine, Suite 6aDetroit, MI 48201
Phone(313) 745-4627
Sole ProprietorNo
Enumeration DateApril 11, 2022
Last NPPES UpdateApril 12, 2022
NPPES CertifiedApril 12, 2022
✔ NPI 1689316671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4201 ST. ANTOINE, Detroit, MI 48201
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathan Rutila Do 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.

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.

CONNOR J O'BOYLE MD
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE, 5E-UHC
DETROIT, MI 48201
Wayne County (313) 577-0714
ELIZABETH ANN KUPSER
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE, UHC-9C DETROIT MEDICAL CENTER- GME OFFICE
DETROIT, MI 48201
Wayne County (313) 745-5147
AHMED AL KHALIFA M.D
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE, UHC-9C
DETROIT, MI 48201
Wayne County (313) 745-5533
JUAN SEBASTIAN RIVERA BECERRA M.D.
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE, UHC 9C
DETROIT, MI 48201
Wayne County (313) 745-6047
CHRISTINA CAON CNP
Nurse Practitioner (Adult Health)
4201 ST. ANTOINE, SUITE 8A
DETROIT, MI 48201
Wayne County (313) 745-4275
LISABETTE SUE LITTSEY NP
Nurse Practitioner (Adult Health)
4201 ST. ANTOINE, UHC
DETROIT, MI 48201
Wayne County (313) 745-2554
MUHAMMAD MEHRAIZ KHAN M.D.
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE
DETROIT, MI 48201
Wayne County (315) 577-5310
MR. WALID MOHAMED NAGEIB IBRAHIM M.D
Internal Medicine
4201 ST. ANTOINE, UHC-2E
DETROIT, MI 48201
Wayne County (313) 745-4832

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 Nathan Rutila's NPI number?

The NPI number for Nathan Rutila is 1689316671. It was assigned to this individual provider in the NPPES registry on April 11, 2022.

Where is Nathan Rutila located?

Nathan Rutila practices at 4201 St. Antoine Suite 6A, Detroit, MI 48201. The listed phone number is (313) 745-4627.

What is Nathan Rutila's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nathan Rutila enrolled in Medicare?

Yes. Nathan Rutila is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nathan Rutila was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.