Individual provider Active NPI

Nellie T Ruelos, M.D.

  • Psychiatry Physician
  • Eldersburg, MD
National Provider Identifier
1225073885
Registry record updated Apr 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D30381 Issued in MD
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, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
383631200MedicaidMD

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
Green means eligible to order or refer.

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

LicenseStateTypeSpecialty
D30381MDMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
N.T. Ruelos, M.D., P.C. Psychiatry CurrentSince Feb 26, 2009 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.

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

Verify at the official NPI Registry.