DR. J. NEAL RUTLEDGE (MD) – Neuroradiology Physician, NPI 1407850043

DR. J. NEAL RUTLEDGE (MD) is a healthcare provider. based in Austin, Texas. specializing in Neuroradiology Physician. They hold the professional credentials MD. They hold a License No. H1654 (TX). The NPI Number for DR. J. NEAL RUTLEDGE (MD) is 1407850043

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. J. NEAL RUTLEDGE (MD)
NPI
1407850043
Phone
(512) 795-5100
Address
12554 RIATA VISTA CIR
Enumeration Date
10 June 2005
Last Update Date
10 February 2016

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
5127955100
Graduation Year
1980 (46 years ago)
PAC ID
5193788586
Group Practice PAC ID
4880686179
Professional Enrollment ID
I20041106000104
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. J. NEAL RUTLEDGE (MD)

  • 12554, Riata Vista Circle, Apple, Austin, Travis County, Texas, 78727, United States

    AUSTIN, TX 787276431

    Phone: (512) 795-5100

    Fax: (512) 795-5122

    Mailing address matches the actual address.

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: 2004-11-06

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
I20041106000104IDiagnostic RadiologyTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78727)

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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: 4880686179View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DR. J. NEAL RUTLEDGE (MD)?
The federal identifier for DR. J. NEAL RUTLEDGE (MD) is NPI 1407850043.
Is DR. J. NEAL RUTLEDGE (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. J. NEAL RUTLEDGE (MD) work in?
You can think of DR. J. NEAL RUTLEDGE (MD) as practicing within Neuroradiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. J. NEAL RUTLEDGE (MD)?
The page summarizes Austin, Texas for DR. J. NEAL RUTLEDGE (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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