Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Michael J Rutter , MPAS, PA-C

Physician Assistant - Surgical β€’ Jbsa Lackland, TX

Active NPI 1801952015 Individual Practitioner Male Practitioner
Practice location in NPPES

1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236

Call 2102924242 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1100 Wilford Hall Loop Bldg 4554

Jbsa Lackland, TX 78236

Telephone 2102924242

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Michael Rutter has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Michael Rutter as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jbsa Lackland and Texas

4 active clinicians are listed under Physician Assistant - Surgical with a practice address in Jbsa Lackland, TX (1,350 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20190731004041

Enrollment State Jurisdiction

TX

PECOS Control ID

7810223690

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Hannah Ahn , MD

Radiology - Diagnostic Radiology

NPI 1013419076

Doctor of Medicine (M.D.)

Craig Ameduri , PA-C

Physician Assistant

NPI 1386018778

Physician Assistant (Certified)

Dr. Trisha Arno , DO

Internal Medicine - Critical Care Medicine

NPI 1275897787

Doctor of Osteopathic Medicine (D.O.)

Dr. Christopher Atkinson , MD

Radiology - Diagnostic Radiology

NPI 1093013260

Doctor of Medicine (M.D.)

Nicole Bane

Internal Medicine

NPI 1629480462
Carl Bemis , PHYSICIAN ASSISTANT

Physician Assistant - Surgical

NPI 1497998504

PHYSICIANASSISTANT

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location August 22, 2018

Registered at 1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236 (Tel: 2102924242)

πŸ“
Updated Business Mailing Address August 22, 2018

Registered at 1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 782365638 (Tel: 2102924242)

βœ…
NPI Profile Active June 17, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 17, 2013

Registered at 2200 BERGQUIST DRIVE STE 1, LACKLAND AFB, TX 782369908 (Tel: 2102925623)

πŸ“
Business Mailing Address (Initial Record) June 17, 2013

Registered at 4550 BERGQUIST DRIVE STE 1, SAN ANTONIO, TX 78236 (Tel: 2102926562)

πŸ‘€
Provider Name / Credentials (Initial Record) June 17, 2013

Recorded as MICHAEL RUTTER, MPAS, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2013

Physician Assistant

🟒
Initial NPI Registration & Enumeration December 29, 2006

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1801952015
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 29, 2006
Last Update: August 22, 2018
Sole Proprietor: Yes

Mailing Address

1100 Wilford Hall Loop Bldg 4554

Jbsa Lackland, TX 782365638

Phone: 2102924242

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.