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MR. DOUGLAS JAMES RUTKOWSKI CRNA
NPI 1992743553
Nurse Anesthetist, Certified Registered in Tampa, FL

Active since June 03, 2006Accepts Medicare Assignment
9610 W PARK VILLAGE DR, TAMPA, FL 33626(813) 926-4069 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Douglas James Rutkowski Crna NPPES

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

MR. DOUGLAS JAMES RUTKOWSKI CRNA (NPI 1992743553) is an individual nurse anesthetist, certified registered in Tampa, Florida, licensed in Florida (ARNP9230105) and active in the NPI registry since June 2006. He is affiliated with Hca Florida Largo Hospital, maintains a secondary practice location in Pittsburgh, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1992743553
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. DOUGLAS JAMES RUTKOWSKICredential: CRNA
Location Address9610 W PARK VILLAGE DRTampa, FL 33626-5135
Mailing Address9610 W Park Village DrTampa, FL 33626-5135 · (813) 926-4069
Phone(813) 926-4069
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJune 3, 2006
Last NPPES UpdateNovember 21, 2024
NPPES CertifiedNovember 21, 2024
✔ NPI 1992743553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in FL · ARNP9230105✔ Licensed in OH · RN472962✔ Licensed in PA · RN614598✔ Licensed in TX · AR108092✔ Licensed in NY · 522116-01
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
9610 W PARK VILLAGE DR, Tampa, FL 33626
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Secondary Practice Location 1

Location 1600 Grant StPittsburgh, PA 15219-2702 · Phone (800) 465-3202

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Douglas James Rutkowski Crna 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 ID2264461581
PECOS Enrollment IDI20050808000429

Medicare Billing Reassignments

6

Medicare enrollment records show Douglas Rutkowski reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwood Anesthesia Associates LLC
7.0 mi
Anesthesiology
3291 N MCMULLEN BOOTH RD
Clearwater, FL 33761
  • Reassigned Medicare billing, Florida enrollment
  • 176 clinicians in this Medicare group
NPI 1871165159 (954) 939-5000
Gulf-To-Bay Anesthesiology Associates LLC
7.5 mi
Pain Medicine
4961 VAN DYKE RD
Lutz, FL 33558
  • Reassigned Medicare billing, Florida enrollment
  • 1,287 clinicians in this Medicare group
NPI 1225365489 (813) 253-2273
North Pinellas Anesthesia Associates, PA
8.2 mi
Anesthesiology
14547 BRUCE B DOWNS BLVD
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 73 clinicians in this Medicare group
NPI 1104879816 (800) 437-2672
Sunshine State Anesthesia Partners LLC
39 mi
Anesthesiology
2020 59TH ST W
Bradenton, FL 34209
  • Reassigned Medicare billing, Florida enrollment
  • 792 clinicians in this Medicare group
NPI 1437757127 (888) 276-1910
Sweet Dreams Anesthesia Inc
507 mi
Nurse Anesthetist, Certified Registered
2108 E 3RD ST
Chattanooga, TN 37404
  • Reassigned Medicare billing, Florida enrollment
  • 14 clinicians in this Medicare group
NPI 1508133497 (423) 267-0466
University Of Pittsburgh Physicians
863 mi
Internal Medicine
3089 SUSSEX AVE
Pittsburgh, PA 15226
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1245414127 (412) 571-1022

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
47 services41 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Largo Hospital

Acute Care Hospitals · Largo, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100248
Location201 14th St SWLargo, FL 33770 · Pinellas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33626 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Douglas Rutkowski's NPI number?

The NPI number for Douglas Rutkowski is 1992743553. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Douglas Rutkowski located?

Douglas Rutkowski practices at 9610 W Park Village Dr, Tampa, FL 33626. The listed phone number is (813) 926-4069.

What is Douglas Rutkowski's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Douglas Rutkowski enrolled in Medicare?

Yes. Douglas Rutkowski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Douglas Rutkowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Rutkowski reassigns Medicare benefits to 6 organizations: Northwood Anesthesia Associates LLC (Clearwater, FL), Gulf-To-Bay Anesthesiology Associates LLC (Lutz, FL), North Pinellas Anesthesia Associates, PA (Tampa, FL), Sunshine State Anesthesia Partners LLC (Bradenton, FL), Sweet Dreams Anesthesia Inc (Chattanooga, TN) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Rutkowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Rutkowski accept?

Health plans from Oscar Health Maintenance Organization of Florida list Douglas Rutkowski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Douglas Rutkowski affiliated with any hospitals?

According to CMS data, Douglas Rutkowski is affiliated with Hca Florida Largo Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Rutkowski was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.