Active NPI
Ralph A Brutus, MD
- Physical Medicine & Rehabilitation Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 284545
- Practice address
- 189 May St
Innovative Physician Services LLC
Worcester, MA 01602-4339 - Phone
- (508) 791-6351
- Fax
- (508) 753-2087
- NPI assigned
- Oct 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 225006 | MA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 284545 | NY | Primary |
Addresses
Primary practice location
189 May St
Innovative Physician Services LLC
Worcester, MA 01602-4339
Mailing address
3 Barker Ave
White Plains, NY 10601-1509
Phone (914) 949-1199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.72 of 100
- Quality
- 72.97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NV Pacs 2 LLC | Multi-Specialty | Current | Accepting new patients |
| Hospitalist Healthcare Services PLLC | Multi-Specialty | Current | Accepting new patients |
| Hospitalist Healthcare Services PLLC | Multi-Specialty | Current | Accepting new patients |
| New York General Medical Services PC | Multi-Specialty | Current | Accepting new patients |
| CS Pacs 3 Northeast, LLC | Multi-Specialty | Current | Accepting new patients |
Locations
3530 Wayne Ave
Bronx, NY 10467
Phone (718) 655-1700
6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010
4241 201st St
Flushing, NY 11361
Phone (516) 599-5688
2090 Albany Post Rd
Montrose, NY 10548
Phone (914) 788-6003
420 E 76th St
New York, NY 10021
Phone (212) 434-5300
17850 Linden Blvd
Rochdale Village, NY 11434
Phone (718) 990-0300
1 Elsie St
Rome, NY 13440
Phone (315) 336-4435
101 Elm St
Sayville, NY 11782
Phone (631) 244-2400
100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813
3 Barker Ave
Fl 4
White Plains, NY 10601
Phone (914) 949-7900
3 Barker Ave
White Plains, NY 10601
Phone (914) 949-7900
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1275962011
Multi-Specialty
-
- Hospitalist Physician
- New York, NY
- NPI 1700315538
Multi-Specialty
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1902224520
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524787200000",
"number": "1073501557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 BARKER AVE",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106011509",
"telephone_number": "914-949-1199",
"fax_number": "914-949-1245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 MAY ST",
"address_2": "INNOVATIVE PHYSICIAN SERVICES LLC",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016024339",
"telephone_number": "508-791-6351",
"fax_number": "508-753-2087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUTUS",
"first_name": "RALPH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2018-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MA",
"license": "225006",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "284545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.