CARMELITE RUSKOWSKI
NPI 1871238592
Family Medicine - Adult Medicine in Kettering, OH

Q: What is Carmelite Ruskowski's NPI number?

The NPI number for Carmelite Ruskowski is 1871238592. It was assigned to this individual provider in the NPPES registry on April 28, 2022.

Q: What is Carmelite Ruskowski's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Active since April 28, 2022PECOS EnrolledAccepts Medicare Assignment

1050 FORRER BLVD STE 250, KETTERING, OH 45420(800) 986-4801(937) 684-9990 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Carmelite Ruskowski NPPES

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

CARMELITE RUSKOWSKI (NPI 1871238592) is an individual adult medicine provider in Kettering, Ohio, licensed in Ohio (APRN.CNP.0031226) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dayton, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1871238592

Entity TypeIndividualFemale

Primary Taxonomy207QA0505X

Provider Legal NameCARMELITE RUSKOWSKI

Location Address1050 FORRER BLVD STE 250Kettering, OH 45420-3640

Mailing Address1050 Forrer Blvd Ste 250Kettering, OH 45420-3640 · (800) 986-4801 · Fax (937) 684-9990

Phone(800) 986-4801

Fax(937) 684-9990

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateApril 28, 2022

Last NPPES UpdateFebruary 18, 2026

NPPES CertifiedFebruary 18, 2026

✔ NPI 1871238592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in OH · APRN.CNP.0031226

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

1050 FORRER BLVD STE 250, Kettering, OH 45420

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Secondary Practice Location 1

Location 19000 N Main St #403Dayton, OH 45415 · Phone (937) 836-5171

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

Carmelite Ruskowski 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 ID6608350103

PECOS Enrollment IDI20260324000092

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 45420 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 7

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

TYRA DEJEAN MARTINEAR CNP

Nurse Practitioner