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RUTU S EZHUTHACHAN MD
NPI 1730159815
Pediatrics in Las Vegas, NV

Active since January 23, 2006PECOS Enrolled
4475 S EASTERN AVE, LAS VEGAS, NV 89119(702) 737-1880(702) 259-4634 Get Directions Write a Review

NPPES record last updated: June 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rutu S Ezhuthachan Md NPPES

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

RUTU S EZHUTHACHAN MD (NPI 1730159815) is an individual pediatrics provider in Las Vegas, Nevada, licensed in Nevada (10466) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730159815
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameRUTU S EZHUTHACHANCredential: MD
Location Address4475 S EASTERN AVELas Vegas, NV 89119-7826
Mailing AddressPo Box 15645Las Vegas, NV 89114-5645 · (702) 560-2879 · Fax (702) 560-2928
Phone(702) 737-1880
Fax(702) 259-4634
Sole ProprietorNo
Enumeration DateJanuary 23, 2006
Last NPPES UpdateJune 10, 2011
✔ NPI 1730159815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NV · 10466
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4475 S EASTERN AVE, Las Vegas, NV 89119
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Other Identifiers 5

Medicare UPINH83082
Medicaid2018853NV
Medicaid3102853NV
Medicaid1730159815NV
Medicare PINEW169ZNV

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rutu S Ezhuthachan 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 89119 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

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.

JACOB SKINNER M.D.
Obstetrics & Gynecology
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 737-1880
JACOB A PARKS PA
Physician Assistant
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 877-5199
DR. RIONA ORDINADO FUJINAGA PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4475 S EASTERN AVE, ADULT MEDICINE- POST DISCHARGE CLINIC
LAS VEGAS, NV 89119
Clark County (702) 669-5947
KWEKU R HUTCHFUL MD
Pediatrics
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 669-5944
CONCEPCION REYES SINGSON MD
Internal Medicine
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 669-5811
PAULINE MARIE HEUSER PA-C
Physician Assistant
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 877-5199
SHEEBA SAJI KUREEKATTIL APRN
Nurse Practitioner
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 877-5119
IAN WENG LAM
Family Medicine
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 877-5199

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 Rutu Ezhuthachan's NPI number?

The NPI number for Rutu Ezhuthachan is 1730159815. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Rutu Ezhuthachan located?

Rutu Ezhuthachan practices at 4475 S Eastern Ave, Las Vegas, NV 89119. The listed phone number is (702) 737-1880.

What is Rutu Ezhuthachan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Rutu Ezhuthachan enrolled in Medicare?

Yes. Rutu Ezhuthachan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rutu Ezhuthachan was last updated on June 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.