Keino Andre Rutherford, MD - Medicare Internal Medicine in Sherman Oaks, CA

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Keino Andre Rutherford, MD is a medicare enrolled "Internal Medicine" physician in Sherman Oaks, California. He went to Howard University College Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Epic Medical Group,inc, Derderyan Medical Group Inc and his current practice location is 4955 Van Nuys Blvd Ste 308, Sherman Oaks, California. You can reach out to his office (for appointments etc.) via phone at () -.

Keino Andre Rutherford is licensed to practice in California (license number A80432) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497807853.

Contact Information

Keino Andre Rutherford, MD
4955 Van Nuys Blvd Ste 308,
Sherman Oaks, CA 91403-1811
() -
Not Available

Map and Direction




Physician's Profile

Full NameKeino Andre Rutherford
GenderMale
SpecialityInternal Medicine
Experience25 Years
Location4955 Van Nuys Blvd Ste 308, Sherman Oaks, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Keino Andre Rutherford attended and graduated from Howard University College Of Medicine in 1999
  NPI Data:
  • NPI Number: 1497807853
  • Provider Enumeration Date: 01/17/2007
  • Last Update Date: 07/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0345438008
  • Enrollment ID: I20101221001136

Medical Identifiers

Medical identifiers for Keino Andre Rutherford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497807853NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine A80432 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Care Connection Home Health Agency, IncReseda, CAHome health agency
Sherman Oaks HospitalSherman oaks, CAHospital
Encino Hospital Medical CenterEncino, CAHospital
Chino Valley Medical CenterChino, CAHospital
Stoney Point Healthcare CenterChatsworth, CANursing home
Holiday Manor Care CenterCanoga park, CANursing home
Trellis ChinoChino, CANursing home
Valley Vista Nursing And Transitional Care LlcNorth hollywood, CANursing home
San Marino ManorSan gabriel, CANursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Epic Medical Group,inc438588395844
Derderyan Medical Group Inc83253473968

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Keino Andre Rutherford allows following entities to bill medicare on his behalf.
Entity NameEmergency And Acute Care Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437103942
PECOS PAC ID: 9537108279
Enrollment ID: O20050502000734
Entity NameEpic Medical Group,inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295178689
PECOS PAC ID: 4385883958
Enrollment ID: O20130612000470
Entity NameDerderyan Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457712309
PECOS PAC ID: 8325347396
Enrollment ID: O20160425002354
Entity NameThe Practice Of Medicine Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659946408
PECOS PAC ID: 5395132880
Enrollment ID: O20220502002011

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keino Andre Rutherford is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Keino Andre Rutherford, MD
4955 Van Nuys Blvd Ste 308,
Sherman Oaks, CA 91403-1811

Ph: (818) 528-1044		Keino Andre Rutherford, MD
4955 Van Nuys Blvd Ste 308,
Sherman Oaks, CA 91403-1811

Ph: () -

Reviews and Comments


Internal Medicine Doctors in Sherman Oaks, CA

Dr. Edmond Derderian, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4955 Van Nuys Blvd Ste 308, Sherman Oaks, CA 91403
Phone: 818-528-1044    Fax: 818-817-0845
Herman Lee Kagan, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 13320 Riverside Dr, Suite 100, Sherman Oaks, CA 91423
Phone: 818-784-8401    Fax: 818-784-0135
Sujie Tang, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4940 Van Nuys Blvd Ste 207, Sherman Oaks, CA 91403
Phone: 818-616-3998    Fax: 818-688-0138
Dr. Oleg Liakhovetski, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4940 Van Nuys Blvd, Ste 200, Sherman Oaks, CA 91403
Phone: 818-528-1260    Fax: 818-528-1261
Dr. Peter Vw Miao, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5000 Van Nuys Blvd, Suite 200, Sherman Oaks, CA 91403
Phone: 818-784-5300    Fax: 818-784-5301
Erin Frances Gordon Johnson,
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 4955 Van Nuys Blvd, Sherman Oaks, CA 91403
Phone: 818-325-0200    
Subir Bhatia,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4955 Van Nuys Blvd, Sherman Oaks, CA 91403
Phone: 818-528-1260    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.