SAMUEL ELEAZAR RUSKIN (MD) – Diagnostic Radiology Physician, NPI 1043432495

SAMUEL ELEAZAR RUSKIN (MD) is a healthcare provider. based in Baltimore, Maryland. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 35097431 (OH). The NPI Number for SAMUEL ELEAZAR RUSKIN (MD) is 1043432495

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL ELEAZAR RUSKIN (MD)
NPI
1043432495
Phone
(773) 326-5787
Address
3515 AUTUMN DR
Enumeration Date
3 May 2007
Last Update Date
10 May 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4409972262
Graduation Year
2007 (19 years ago)
PAC ID
6901074152
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20110714000471
Address ID
OH440044954AS2420XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,709 PEDIATRIC MEDICINE in OH

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Provider Addresses for SAMUEL ELEAZAR RUSKIN (MD)

  • 3515, Autumn Drive, Long Meadow Estates, Pikesville, Baltimore County, Maryland, 21208, United States

    BALTIMORE, MD 212083014

    Phone: (773) 326-5787

    Type: Mailing

  • Fairview Hospital, 18101, Lorain Avenue, Kamms Corners, Cleveland, Cuyahoga County, Ohio, 44111, United States

    CLEVELAND, OH 441115612

    Phone: (216) 476-7000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-07-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110714000471IPediatric MedicineOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
74177Ct scan of abdomen and pelvis with contrast194194$0
71045X-ray of chest, 1 view192179$0
74183Mri scan of abdomen before and after contrast156155$0
76770Complete ultrasound scan behind abdominal cavity155154$0
72197Mri scan of pelvis before and after contrast131130$0
View full utilization report →

Insurance plans in this area (ZIP 21208)

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Provider's Procedures

SAMUEL ELEAZAR RUSKIN (MD) performs procedures in PEDIATRIC MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PEDIATRIC MEDICINEOH71010X-ray of chest, 1 view, front355318
PEDIATRIC MEDICINEOH71250CT scan chest2727
PEDIATRIC MEDICINEOH73630X-ray of foot, minimum of 3 views1615
PEDIATRIC MEDICINEOH74177CT scan of abdomen and pelvis with contrast8585
PEDIATRIC MEDICINEOH76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle2222
PEDIATRIC MEDICINEOH93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers1615

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

How do payers reference SAMUEL ELEAZAR RUSKIN (MD)?
For SAMUEL ELEAZAR RUSKIN (MD), use NPI 1043432495 as the unique 10-digit identifier.
Is there an active status for SAMUEL ELEAZAR RUSKIN (MD)?
For scheduling context, SAMUEL ELEAZAR RUSKIN (MD) is shown as active in the registry.
What kind of doctor is SAMUEL ELEAZAR RUSKIN (MD)?
SAMUEL ELEAZAR RUSKIN (MD) is associated with Diagnostic Radiology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for SAMUEL ELEAZAR RUSKIN (MD)?
Travel planning: use Baltimore, Maryland as the reference point for SAMUEL ELEAZAR RUSKIN (MD), then confirm.
Can I trust this NPI listing for SAMUEL ELEAZAR RUSKIN (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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