Individual provider Active NPI

Yashica Yvonne Ruffin, MD., MPH

  • Addiction Medicine (Family Medicine) Physician
  • Oxford, NC
National Provider Identifier
1073753497
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
D0076796 Issued in MD
Practice address
1015 Lewis Street
Oxford, NC 27565
Phone
(919) 603-0873
NPI assigned
Feb 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2011-01420 NC
Addiction Medicine (Family Medicine) Physician 207QA0401X D0076796 MD Primary

Addresses

Primary practice location

1015 Lewis Street
Oxford, NC 27565

Mailing address

1721 Bertland Ave
Durham, NC 27705
Phone (347) 218-1388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MD2 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
I20110927000086 NC Practitioner - Family Practice 3678744588 Reassigns benefits to 1 organization
I20210908000141 MD Practitioner - Family Practice 3678744588 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2011-01420NCMDFamily Medicine Physician
D0076796MDMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glass Health Programs, Inc. CurrentSince May 15, 2023 Accepting new patients
East Baltimore Community Corporation / Reflective Treatment Center CurrentSince Sep 18, 2024 Accepting new patients
Maryland Medical Specialists Inc Family Medicine CurrentSince Apr 1, 2022 Accepting new patients
E J a L Health Services Inc CurrentSince May 1, 2017 Accepting new patients

Locations

145 W Ostend St
Ste 600
Baltimore, MD 21230
Phone (240) 542-8509

301 N Gay St
Baltimore, MD 21202
Phone (410) 752-3500

133 Rollins Ave
Ste 3
Rockville, MD 20852
Phone (202) 935-1033

Interoperability endpoints

  • Direct secure messaging: yashica.ruffin@360970842865668.direct.elationemr.com
  • Direct secure messaging: yashica.ruffin.1@28555.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1073753497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 BERTLAND AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27705",
            "telephone_number": "347-218-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 LEWIS STREET",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "27565",
            "telephone_number": "919-603-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFFIN",
        "first_name": "YASHICA",
        "middle_name": "YVONNE",
        "credential": "MD., MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-25",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2011-01420",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MD",
            "license": "D0076796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, NC

Sources for this page

Verify at the official NPI Registry.