Active NPI
Charles James Ruotolo, M.D.
- Orthopaedic Surgery Physician
- Massapequa, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 216303-1
- Practice address
- 5500 Merrick Rd
Massapequa, NY 11758-6231 - Phone
- (516) 795-3033
- NPI assigned
- Feb 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 216303-1 | NY | Primary |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 216303-1 | NY |
Addresses
Primary practice location
5500 Merrick Rd
Massapequa, NY 11758-6231
Mailing address
5500 Merrick Rd
Massapequa, NY 11758-6231
Phone (516) 795-3033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02175455 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- New York Medical College, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5500 Merrick Rd
Massapequa, NY 11758-6231
Hospital & facility affiliations
- Nassau University Medical Center
- Chsli St Joseph Hospital
- NS/Lij HS Southside Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 49.6 of 100
- Quality
- 49.04
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 66.29
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.46 of 100
- Quality
- 57.32
- Promoting interoperability
- 84
- Improvement activities
- 40
- Cost
- 80.25
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 35 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 216303-1 | NY | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedics Spine and Sports Medicine LLC | Current | Accepting new patients | |
| Nassau Health Care Corporation | Current | Accepting new patients | |
| Syosset Sasc LLC | Current | Accepting new patients | |
| Nassau Health Care Corporation | Current | Accepting new patients | |
| Orthopaedics Spine and Sports Medicine, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopaedics Spine and Sports Medicine LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Nassau Health Care Corporation | Current | Accepting new patients | |
| Total Orthopedics Spine and Sports Medicine NJ LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopaedics Spine and Sports Medicine LLC | Past | Accepting new patients | |
| The Sports Clinic Orthopaedic Medical Associates, Inc. | Orthopaedic Surgery | Past | Accepting new patients |
| Total Orthopaedics and Sports Medicine, LLP | Orthopaedic Surgery | Past | Accepting new patients |
Locations
2510 Westchester Ave
Ste 100
Bronx, NY 10461
Phone (718) 684-4677
1789 Sheepshead Bay Rd
Brooklyn, NY 11235
Phone (347) 587-1049
2103 Deer Park Ave
Deer Park, NY 11729
Phone (631) 242-4500
2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234
2339 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 520-3053
2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862
5500 Merrick Rd
Massapequa, NY 11758
Phone (516) 797-2657
12 Unqua Rd
Massapequa, NY 11758
115 Eileen Way
Syosset, NY 11791
Phone (516) 622-9797
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- charlesruotolo@ossm.allscriptsdirect.net
Organizations & group practices 12
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.
-
- General Acute Care Hospital
- East Meadow, NY
- NPI 1902822992
-
- Orthopaedic Surgery Physician
- Syosset, NY
- NPI 1548490063
-
- Orthopaedic Surgery Physician
- Bayonne, NJ
- NPI 1851142467
-
- Surgery Physician
- New York, NY
- NPI 1780308106
-
- Durable Medical Equipment & Medical Supplies
- East Meadow, NY
- NPI 1871233452
-
- General Acute Care Hospital
- East Meadow, NY
- NPI 1477578060
-
- General Acute Care Hospital
- East Meadow, NY
- NPI 1730530940
-
- Durable Medical Equipment & Medical Supplies
- Syosset, NY
- NPI 1073096590
Orthopaedic Surgery
-
- Ambulatory Surgical Clinic/Center
- Syosset, NY
- NPI 1740999085
-
- Orthopaedic Surgery of the Spine Physician
- Bayonne, NJ
- NPI 1154030328
-
- Orthopaedic Surgery Physician
- Massapequa, NY
- NPI 1174621015
-
- Orthopaedic Surgery Physician
- Laguna Hills, CA
- NPI 1376603183
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bay Shore, NY
- NPI 1457369381
-
- General Acute Care Hospital
- Bethpage, NY
- NPI 1013998426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250640000000",
"number": "1255307443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 MERRICK RD",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117586231",
"telephone_number": "516-795-3033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 MERRICK RD",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117586231",
"telephone_number": "516-795-3033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUOTOLO",
"first_name": "CHARLES",
"middle_name": "JAMES",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2009-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "216303-1",
"primary": true
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NY",
"license": "216303-1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02175455",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.