Individual provider Active NPI

Peter Ruggiero, M.D.

  • Internal Medicine Physician
  • Longwood, FL
National Provider Identifier
1124022058
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME73282 Issued in FL
Practice address
1200 W Sr 434
Suite 112
Longwood, FL 32750-4986
Phone
(407) 644-1111
Fax
(407) 740-8411
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X ME0073282 FL
Internal Medicine Physician 207R00000X ME73282 FL Primary

Addresses

Primary practice location

1200 W Sr 434
Suite 112
Longwood, FL 32750-4986

Mailing address

1200 W Sr 434
Suite 112
Longwood, FL 32750-4986
Phone (407) 644-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070313000447 FL Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 9638272677 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Denise Panuccio MD PAGroup PAC ID 6103929112, 6 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

1200 W Sr
434 Suite 112
Longwood, FL 32750-4957
Phone (407) 644-1111

1200 W State Rd
434 Suite 112
Longwood, FL 32750-4957

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0073282FLMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Ruggiero MD PA CurrentSince Nov 3, 2006 Accepting new patients
Denise Panuccio MD PA Internal Medicine CurrentSince Sep 1, 2012 Accepting new patients

Locations

460 E Altamonte Dr
Ste 2200
Altamonte Springs, FL 32701
Phone (407) 767-0009

1200 W State Road 434
Longwood, FL 32750

1200 W State Road 434
Ste 112
Longwood, FL 32750
Phone (407) 644-1111

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDIFAD/Endpoint/EDIFAD
  • Direct secure messaging: peter.ruggiero@amg1.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1124022058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W SR 434",
            "address_2": "SUITE 112",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504986",
            "telephone_number": "407-644-1111",
            "fax_number": "407-740-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W SR 434",
            "address_2": "SUITE 112",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504986",
            "telephone_number": "407-644-1111",
            "fax_number": "407-740-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGIERO",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "FL",
            "license": "ME0073282",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME73282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.