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

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