Kim Rutherford, M.D.
NPI 1013102649 · Pediatric Emergency Medicine (Pediatrics) Physician · Mineola, NY
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kim Rutherford, M.D. is a Pediatric Emergency Medicine (Pediatrics) Physician provider in Mineola, NY (NPI 1013102649).
Provider details
- NPI number
- 1013102649
- Entity type
- Individual
- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 37476 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1400 S Dobson RdMesa, AZ 85202-4707Phone: (480) 456-9500Fax: (480) 820-7623
Registry dates
- Enumerated
- 2007-09-06
- Last updated
- 2021-03-30
- Certified
- 2021-03-30
Frequently asked questions
- What is Kim Rutherford's NPI number?
- Kim Rutherford's National Provider Identifier (NPI) is 1013102649, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kim Rutherford's specialty?
- Kim Rutherford is listed in the NPPES registry with a primary specialty of Pediatric Emergency Medicine (Pediatrics) Physician (Allopathic & Osteopathic Physicians).
- Where is Kim Rutherford located?
- Kim Rutherford's practice location on file with NPPES is 259 1st St, Mineola, NY 11501-3957.
- What is Kim Rutherford's phone number?
- The practice phone number listed in the NPPES registry for Kim Rutherford is (717) 531-8955.
- Does Kim Rutherford accept Medicare?
- Kim Rutherford is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kim Rutherford's NPI active?
- Yes — Kim Rutherford's NPI (1013102649) is active in the NPPES registry as of the last update on 2021-03-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.