NPIMap

Individual provider Active NPI

David Von Rueden, M.D.

  • Surgery Physician
  • Catonsville, MD
National Provider Identifier
1063431658
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0061233 Issued in MD
Practice address
700 Geipe Rd
Suite 274
Catonsville, MD 21228-4147
Phone
(410) 368-3003
Fax
(410) 368-8726
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D0061233 MD Primary

Addresses

Primary practice location

700 Geipe Rd
Suite 274
Catonsville, MD 21228-4147

Mailing address

PO Box 21182
Baltimore, MD 21228-0682

Other identifiers 3

IdentifierTypeStateIssuer
W662/0236OtherMDCAREFIRST-REGIONAL
405178500MedicaidMD
K519/626156-03OtherMDCAREFIRST-MD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0061233MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Agnes Healthcare, Inc. PastSince Jan 1, 1990 Accepting new patients
St. Agnes Healthcare, Inc. PastSince Jan 1, 1990 Accepting new patients
Greater Baltimore Medical Center, Inc. Past Accepting new patients
St. Agnes Healthcare, Inc. PastSince Jan 1, 1990 Accepting new patients
St. Agnes Healthcare, Inc. PastSince Jan 1, 1990 Accepting new patients
St. Agnes Healthcare, Inc. PastSince Jan 1, 1990 Accepting new patients
St. Agnes Healthcare, Inc. PastSince Jan 1, 1990 Accepting new patients
St. Agnes Hospice Physician SVC PastSince Jan 1, 1990 Accepting new patients
St. Agnes Healthcare, Inc. PastSince Jan 1, 1990 Accepting new patients
St Agnes Healthcare Inc PastSince Jan 1, 1990 Accepting new patients
St Agnes Healthcare PastSince Jan 1, 1990 Accepting new patients
St. Agnes Healthcare, Inc. PastSince Jan 1, 1990 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Greater Baltimore Medical Center, Inc. Past Accepting new patients
St. Agnes Healthcare PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1063431658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21182",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212280682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GEIPE RD",
            "address_2": "SUITE 274",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284147",
            "telephone_number": "410-368-3003",
            "fax_number": "410-368-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON RUEDEN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0061233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST-REGIONAL",
            "identifier": "W662/0236",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405178500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST-MD",
            "identifier": "K519/626156-03",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.