Individual provider Active NPI

Ruben Ngnitewe Massa a, MD

  • Diagnostic Radiology Physician
  • Sun Prairie, WI
National Provider Identifier
1003430950
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
8241820 Issued in WI
Practice address
1281 Twisted Branch Way
Sun Prairie, WI 53590-9012
Phone
(913) 980-3405
NPI assigned
Jun 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 46990 OK
Diagnostic Radiology Physician 2085R0202X 38889 NH
Diagnostic Radiology Physician 2085R0202X 01098657A IN
Diagnostic Radiology Physician 2085R0202X 110894 GA
Diagnostic Radiology Physician 2085R0202X 8241820 WI Primary
Diagnostic Radiology Physician 2085R0202X 4301515674 MI
Diagnostic Radiology Physician 2085R0202X MD228042 OR
Diagnostic Radiology Physician 2085R0202X MD29939 ME
Diagnostic Radiology Physician 2085R0202X MD.52956 AL

Addresses

Primary practice location

1281 Twisted Branch Way
Sun Prairie, WI 53590-9012

Mailing address

1281 Twisted Branch Way
Sun Prairie, WI 53590-9012
Phone (913) 980-3405

Other practice location 1

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-4735

Other practice location 2

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3000

Other practice location 3

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

Other identifiers 1

IdentifierTypeStateIssuer
2020014721OtherMOMO BOARD OF HEALING ARTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230929001485 WI Practitioner - General Practice 1254752793 Reassigns benefits to 5 organizations
I20260529004249 IN Practitioner - Diagnostic Radiology 1254752793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Missouri, Columbia School of Medicine, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1100 Reid Pkwy
Richmond, IN 47374-1157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.52956ALMDDiagnostic Radiology Physician
01098657AINMDDiagnostic Radiology Physician
MD29939MEMDDiagnostic Radiology Physician
4301515674MIMDDiagnostic Radiology Physician
38889NHMDDiagnostic Radiology Physician
MD228042ORMDDiagnostic Radiology Physician
8241820WIMDDiagnostic Radiology Physician
82418-20WIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Signify Health Medical Associates, PLLC General Practice CurrentSince Aug 16, 2023 Accepting new patients
Major Hospital Past Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420

Interoperability endpoints

  • Direct secure messaging: rngnitewemassaa889759@direct.unitypoint.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1003430950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 TWISTED BRANCH WAY",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535909012",
            "telephone_number": "913-980-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 TWISTED BRANCH WAY",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535909012",
            "telephone_number": "913-980-3405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-4735",
            "fax_number": "207-482-7898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Reid Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473741157",
            "country_code": "US",
            "telephone_number": "765-983-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "489 State St",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044016616",
            "country_code": "US",
            "telephone_number": "207-973-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGNITEWE MASSA A",
        "first_name": "RUBEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-05",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "46990",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "38889",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01098657A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "110894",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "8241820",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301515674",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD228042",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "MD29939",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "MD.52956",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO BOARD OF HEALING ARTS",
            "identifier": "2020014721",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Prairie, WI

Sources for this page

Verify at the official NPI Registry.