1. Home
  2. Directory
  3. Texas
  4. Huntsville
  5. Physician Assistant
  6. NPI Profile

MR. MICHAEL ROBERT RUTTLE P.A
NPI 1801916556
Physician Assistant - Medical in Huntsville, TX

Active since March 29, 2007PECOS Enrolled
2507 LAKE RD # 2, HUNTSVILLE, TX 77340(936) 291-3219(936) 291-7206 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Michael Robert Ruttle P.a NPPES

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

MR. MICHAEL ROBERT RUTTLE P.A (NPI 1801916556) is an individual medical provider in Huntsville, Texas, licensed in Texas (PA00723) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801916556
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MICHAEL ROBERT RUTTLECredential: P.A
Location Address2507 LAKE RD # 2Huntsville, TX 77340-5735
Mailing Address18335 Dogwood DrConroe, TX 77303-3217 · (936) 291-3219 · Fax (936) 291-7206
Phone(936) 291-3219
Fax(936) 291-7206
Sole ProprietorNo
Enumeration DateMarch 29, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1801916556 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
License✔ Licensed in TX · PA00723
2507 LAKE RD # 2, Huntsville, TX 77340
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Michael Robert Ruttle P.a 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.

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 Ruttle's NPI number?

The NPI number for Michael Ruttle is 1801916556. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Michael Ruttle located?

Michael Ruttle practices at 2507 Lake Rd # 2, Huntsville, TX 77340. The listed phone number is (936) 291-3219.

What is Michael Ruttle's specialty?

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

Is Michael Ruttle enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Michael Ruttle was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.