Individual provider Active NPI

Charles M Ruhl, MD

  • Otolaryngology Physician
  • Providence, RI
National Provider Identifier
1134237274
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
9720 Issued in RI
Practice address
118 Dudley St
Providence, RI 02905-2403
Phone
(401) 274-2300
Fax
(401) 272-1302
NPI assigned
Aug 28, 2006
Last updated
Dec 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 9720 RI Primary

Addresses

Primary practice location

118 Dudley St
Providence, RI 02905-2403

Mailing address

118 Dudley St
Providence, RI 02905-2403
Phone (401) 274-2300

Other identifiers 1

IdentifierTypeStateIssuer
9020552MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20040814000047 RI Practitioner - Otolaryngology 0446223853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Virginia School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Otolaryngology-Head and Neck Surgery, Inc.Group PAC ID 3274613930, 19 clinicians

Practice addresses (Care Compare)

1351 S County TRL
Suite 303And305
East Greenwich, RI 02818-5105
Phone (401) 885-8484

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9720RIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Otolaryngology-Head and Neck Surgery, Inc. Otolaryngology CurrentSince Dec 1, 2007 Accepting new patients
University Otolaryngology Head & Neck Surgery Inc. Past Accepting new patients

Locations

1351 S County Trl
Ste 303
East Greenwich, RI 02818
Phone (401) 884-8585

1351 S County Trl
Ste 303305
East Greenwich, RI 02818
Phone (401) 885-8484

1351 S County Trl
Ste 304
East Greenwich, RI 02818
Phone (401) 626-3708

118 Dudley St
Providence, RI 02905
Phone (401) 273-4155

830 Eddy St
Providence, RI 02905
Phone (401) 274-2300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1134237274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 DUDLEY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052403",
            "telephone_number": "401-274-2300",
            "fax_number": "401-272-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 DUDLEY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052403",
            "telephone_number": "401-274-2300",
            "fax_number": "401-272-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUHL",
        "first_name": "CHARLES",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "RI",
            "license": "9720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9020552",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.