Active NPI
Michael S Ruggiero, PA
- Medical Physician Assistant
- Peabody, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1733
- Practice address
- 2 Essex Center Dr
Peabody, MA 01960-2902 - Phone
- (978) 977-4000
- NPI assigned
- Apr 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1733 | MA | |
| Medical Physician Assistant | 363AM0700X | 1733 | MA | Primary |
Addresses
Primary practice location
2 Essex Center Dr
Peabody, MA 01960-2902
Mailing address
147 Milk St
Provider Enrollment - 9TH Floor
Boston, MA 02109-4806
Phone (617) 559-8053
Other practice location 1
210 Andover St
Peabody, MA 01960-1647
Phone (978) 488-3234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
180 Main St
Saugus, MA 01906-4502
Phone (339) 674-0978
236 Cochituate Rd
Framingham, MA 01701-4627
Phone (774) 244-3227
245 Hartford Ave
Bellingham, MA 02019-3007
Phone (774) 295-4355
40 Davis Straits
Falmouth, MA 02540-3906
Phone (774) 255-3010
70 Gold Star Blvd
Worcester, MA 01606-2812
Phone (508) 426-9002
86 Taunton St
Plainville, MA 02762-2131
Phone (508) 928-5211
999 Dalton Ave
Pittsfield, MA 01201-2903
Phone (413) 242-6577
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.71 of 100
- Quality
- 56.09
- Improvement activities
- 40
- Cost
- 79.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1733 | MA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afc Physicians of Massachusetts, PC | Current | Accepting new patients | |
| Mass General Brigham Urgent Care LLC | Current | Accepting new patients | |
| Mass General Brigham Urgent Care LLC | Current | Accepting new patients | |
| Convenientmd - FFS UC LLC | Current | Accepting new patients | |
| Convenientmd - FFS UC LLC | Current | Accepting new patients |
Locations
245 Hartford Ave
Bellingham, MA 02019
Phone (774) 295-4355
1285 Beacon St
Brookline, MA 02446
Phone (617) 751-6205
40 Davis Straits
Falmouth, MA 02540
Phone (774) 255-3010
210 Andover St
Peabody, MA 01960
Phone (978) 278-7400
415 Cooley St
Unit 3
Springfield, MA 01128
Phone (413) 782-4878
360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700
Interoperability endpoints
- michael.ruggiero.p27@direct.medcor.nextgenshare.com
Organizations & group practices 7
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.
-
- Urgent Care Clinic/Center
- Worcester, MA
- NPI 1790528628
-
- Urgent Care Clinic/Center
- Brookline, MA
- NPI 1720486830
-
- Urgent Care Clinic/Center
- Springfield, MA
- NPI 1902123276
-
- Urgent Care Clinic/Center
- Malden, MA
- NPI 1215379789
-
- Urgent Care Clinic/Center
- Burlington, MA
- NPI 1265123632
-
- Urgent Care Clinic/Center
- Sturbridge, MA
- NPI 1386526192
-
- Urgent Care Clinic/Center
- Cambridge, MA
- NPI 1609387695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1275598112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 MILK ST",
"address_2": "PROVIDER ENROLLMENT - 9TH FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021094806",
"telephone_number": "617-559-8053",
"fax_number": "617-421-3487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 ESSEX CENTER DR",
"city": "PEABODY",
"state": "MA",
"postal_code": "019602902",
"telephone_number": "978-977-4000"
}
],
"practiceLocations": [
{
"address_1": "210 Andover St",
"address_purpose": "LOCATION",
"city": "Peabody",
"state": "MA",
"postal_code": "019601647",
"country_code": "US",
"telephone_number": "978-488-3234",
"fax_number": "978-488-3235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUGGIERO",
"first_name": "MICHAEL",
"middle_name": "S",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "1733",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MA",
"license": "1733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.