SAMUEL G RUCHMAN MD
NPI 1851978555
Internal Medicine in Tuba City, AZ

Q: What is Samuel Ruchman's NPI number?

The NPI number for Samuel Ruchman is 1851978555. It was assigned to this individual provider in the NPPES registry on March 27, 2021.

Q: What is Samuel Ruchman'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 Samuel Ruchman was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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 March 27, 2021PECOS EnrolledAccepts Medicare Assignment

167 N MAIN STREET, TUBA CITY, AZ 86045(866) 976-5941 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2025, Apr 13, 2021, Mar 27, 2021 (3 updates tracked since 2021).

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About Samuel G Ruchman Md NPPES

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

SAMUEL G RUCHMAN MD (NPI 1851978555) is an individual internal medicine provider in Tuba City, Arizona, licensed in Arizona (76799) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (2021).

NPPES Registry Identity

NPI1851978555

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameSAMUEL G RUCHMANCredential: MD

Location Address167 N MAIN STREETTuba City, AZ 86045-0600

Mailing AddressPo Box 600Tuba City, AZ 86045-0600 · (928) 283-2501

Phone(866) 976-5941

Sole ProprietorNo

Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2021

Enumeration DateMarch 27, 2021

Last NPPES UpdateOctober 10, 20253 updates tracked since enumeration

NPPES CertifiedOctober 10, 2025

✔ NPI 1851978555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in AZ · 76799

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.

Also ListedPediatricsTaxonomy 208000000X · License 76799 (AZ)

167 N MAIN STREET, Tuba City, AZ 86045

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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 and accepts Medicare assignment

Samuel G Ruchman 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 ID6002217627

PECOS Enrollment IDI20251124001926

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 86045 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

TINA LYNN THORPE RN

Registered Nurse