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

Ruby Pottukalam

Individual provider Medical Physician Assistant · NPI 1417320920

Ruby Pottukalam is a Physician Assistant in Meadowbrook, Pennsylvania. Qualified in 2015, 11 years ago. Practices with Pennsylvania Urgent Care Centers, PLLC, a 108-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
11
Licensed in
PA
In the registry since
2015
Specialties on file
2

Practice location Address checks out

1648 Huntingdon Pike
Meadowbrook, PA 19046-8001
Phone: (215) 938-2100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA057714 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence OA003584 (PA)

Record details

NPI number1417320920
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 5, 2015
Last updated in NPPESSeptember 25, 2017
Mailing address1648 Huntingdon Pike, Medical Staff Office First Floor, Meadowbrook, PA 19046-8001

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Pennsylvania Urgent Care Centers, Pllc — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Meadowbrook