KENNETH JR. RUTH (M.D.) – Anesthesiology Physician, NPI 1851631667

KENNETH JR. RUTH (M.D.) is a healthcare provider. based in Anacortes, Washington. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 65254 (TN). The NPI Number for KENNETH JR. RUTH (M.D.) is 1851631667

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH JR. RUTH (M.D.)
NPI
1851631667
Phone
(916) 505-4969
Address
6110 PARKSIDE DR
Enumeration Date
15 February 2013
Last Update Date
28 April 2026

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6153225000
Graduation Year
2013 (13 years ago)
PAC ID
1254686108
Group Practice PAC ID
5092023416
Professional Enrollment ID
I20231208002404
Address ID
TN372320028NA1301XDRXX400

Contacts

Secure Messaging
kruth775220@direct.vumc.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness95
Years active:13State licenses:1Other names

1,514 ANESTHESIOLOGY in WA

Provider Addresses for KENNETH JR. RUTH (M.D.)

  • 6110 PARKSIDE DR

    ANACORTES, WA 982214008

    Phone: (916) 505-4969

    Type: Mailing

  • 3475 N SARATOGA ST

    OAK HARBOR, WA 982784927

    Phone: (619) 532-8038

    Type: Location

  • 3841 GREEN HILLS VILLAGE DR STE 200

    NASHVILLE, TN 372152691

    Phone:

    Type: Mailing

  • 3601 THE VANDERBILT CLINIC

    NASHVILLE, TN 372324927

    Phone: (615) 322-3000

    Type: Location

  • 2803A WHITE OAK DR

    NASHVILLE, TN 372151221

    Phone: (916) 505-4969

    Type: Mailing

  • 1310 24TH AVE S

    NASHVILLE, TN 372122637

    Phone: (615) 327-4751

    Type: Location

  • 3475 N Saratoga St

    Oak Harbor, WA 982784927

    Phone: (619) 532-8038

    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: 2023-12-08

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
I20231208002404IAnesthesiologyTNTBD

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 98221)

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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: 5092023416View full group profile
NameSpecialtyState
Diagnostic RadiologyTN
Pediatric MedicineTN
-TN
-TN
Diagnostic Radiology, Interventional Pain ManagementTN
Certified Registered Nurse Anesthetist (Crna)TN
N E U R O L O G YTN
-TN
Physician AssistantTN
Internal MedicineTN

Reviews

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Frequently asked questions

How is KENNETH JR. RUTH (M.D.) identified in CMS data?
CMS-hosted NPPES data lists KENNETH JR. RUTH (M.D.) with NPI 1851631667.
Is KENNETH JR. RUTH (M.D.) listed as active for patients and plans?
The listing shows KENNETH JR. RUTH (M.D.) as active in the NPI system.
What is KENNETH JR. RUTH (M.D.)'s primary classification?
Anesthesiology Physician is the headline specialty for KENNETH JR. RUTH (M.D.) here. Clinical services aligned with this taxonomy classification.
Does KENNETH JR. RUTH (M.D.) list a practice location?
Patients near Anacortes, Washington may find KENNETH JR. RUTH (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
7 practice locations appear in the available data.

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