Cecilia P. Ruelos, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

133654 Issued in NY

Practice address

381 Church Street
Second Floor
Saratoga Springs, NY 12866-8640

Phone

(518) 306-5292

Fax

(518) 306-5292

NPI assigned

Mar 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Cecilia P. Ruelos, M.D.

  • Pediatric Adolescent Medicine Physician
  • Ballston Spa, NY
  • NPI 1396790382
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1275593543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 CHURCH STREET",
            "address_2": "SECOND FLOOR",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128668640",
            "telephone_number": "518-306-5292",
            "fax_number": "518-306-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 CHURCH STREET",
            "address_2": "SECOND FLOOR",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128668640",
            "telephone_number": "518-306-5292",
            "fax_number": "518-306-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUELOS",
        "first_name": "CECILIA",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "133654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00786452",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Rozembersky, LMHC
• Marina Rozik, MD
• Harriet Rubenstein, LCSW
• Christian Ruckert, DDS
• Rae Tieder Rudat, PT
• Jennifer Runkel, PT
• Marissa Russell, LCSW
• Rustom a Rastinehad PC
• Kellen Ryan, PA
• Kathryn A. Sabo, PA-C

• Pediatric Adolescent Medicine Physician in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.