Active NPI
Nellie T Ruelos, M.D.
- Psychiatry Physician
- Eldersburg, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D30381
- Practice address
- 1643 Liberty Rd
Ste. 204
Eldersburg, MD 21784-6544 - Phone
- (410) 552-9004
- Fax
- (410) 552-9003
- NPI assigned
- Jun 18, 2006
- Last updated
- Apr 28, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D30381 | MD | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | D30381 | MD |
Addresses
Primary practice location
1643 Liberty Rd
Ste. 204
Eldersburg, MD 21784-6544
Mailing address
1421 Woodridge LN
Eldersburg, MD 21784-8338
Phone (410) 552-9983
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 383631200 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1421 Woodridge Lane
Eldersburg, MD 21784-8338
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D30381 | MD | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| N.T. Ruelos, M.D., P.C. | Psychiatry | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1643 Liberty Rd
Ste 204
Eldersburg, MD 21784
Phone (410) 549-6282
6190 Georgetown Blvd
#105
Eldersburg, MD 21784
Phone (410) 552-9004
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.
-
dba Carroll Mental Health Care
- Psychiatry Physician
- Eldersburg, MD
- NPI 1316194541
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367107200000",
"number": "1225073885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 WOODRIDGE LN",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "217848338",
"telephone_number": "410-552-9983",
"fax_number": "410-552-9984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1643 LIBERTY RD",
"address_2": "STE. 204",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "217846544",
"telephone_number": "410-552-9004",
"fax_number": "410-552-9003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUELOS",
"first_name": "NELLIE",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-18",
"last_updated": "2013-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D30381",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MD",
"license": "D30381",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "383631200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eldersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2013; 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.