Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Rutkowski, MD

Individual provider Internal Medicine Physician · NPI 1073602520

Jack Rutkowski, MD is an Internal Medicine in Independence, Ohio. Qualified in 2001, 25 years ago. Practices with Two Brothers Enterprises Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
25
Licensed in
OH
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4400 Rockside Rd Ste 2100
Independence, OH 44131-2109
Phone: (216) 573-1300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 35-088270 (OH)

Record details

NPI number1073602520
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 12, 2006
Last updated in NPPESSeptember 16, 2020
Certification dateSeptember 16, 2020
Mailing address4400 Rockside Rd, Suite 2100, Independence, OH 44131-2109

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Two Brothers Enterprises Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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