Active NPI
Robert Paul Ruggiero, MD
- Surgery Physician
- Philadelphia, PA
National Provider Identifier
1194709774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD022286E
- Practice address
- 2230 E Allegheny Ave
Philadelphia, PA 19134 - Phone
- (215) 634-3418
- Fax
- (215) 364-4872
- NPI assigned
- Dec 6, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD022286E | PA | Primary |
Addresses
Primary practice location
2230 E Allegheny Ave
Philadelphia, PA 19134
Mailing address
2450 W Hunting Park Ave
2ND Tpi
Philadelphia, PA 19129-1302
Phone (215) 926-9019
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4072 | Other | PA | BRAVO HEALTH |
| 0069532006 | Other | PA | AMERICHOICE |
| 30027786 | Other | PA | KEYSTONE MERCY HEALTH |
| 000695320 | Medicaid | PA | |
| 0052025000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 0878458 | Other | PA | CIGNA |
| 099036 | Other | PA | HIGHMARK BLUE SHIELD |
| 3Y7470 | Other | PA | HEALTH NET |
| 571685 | Other | PA | COVENTRY HEALTH AMERICA |
| 597586 | Other | PA | TEMPLE PHYSICIANS INC MEDICARE GROUP |
| 1169689 | Other | PA | AETNA HMO |
| 4076296 | Other | PA | AETNA PPO |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Health Physician Services | Past | Accepting new patients | |
| Temple Physician Inc. | Past | Accepting new patients |
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.
-
dba Geoffrey W. Temple Family Medical Associates
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053181297
-
- Internal Medicine Physician
- Feasterville Trevose, PA
- NPI 1174497366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246320000000",
"number": "1194709774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 W HUNTING PARK AVE",
"address_2": "2ND TPI",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191291302",
"telephone_number": "215-926-9019",
"fax_number": "215-226-8286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 E ALLEGHENY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19134",
"telephone_number": "215-634-3418",
"fax_number": "215-364-4872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUGGIERO",
"first_name": "ROBERT",
"middle_name": "PAUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2009-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD022286E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRAVO HEALTH",
"identifier": "4072",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "0069532006",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY HEALTH",
"identifier": "30027786",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000695320",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0052025000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0878458",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "099036",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "3Y7470",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HEALTH AMERICA",
"identifier": "571685",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEMPLE PHYSICIANS INC MEDICARE GROUP",
"identifier": "597586",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "1169689",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4076296",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.