Individual provider Active NPI

John Bruin Rugge, MD

  • Family Medicine Physician
  • Scappoose, OR
National Provider Identifier
1316955842
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD22472 Issued in OR
Practice address
33721 E Columbia Ave.
Scappoose, OR 97056
Phone
(503) 418-4222
NPI assigned
Aug 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD22472 OR Primary

Addresses

Primary practice location

33721 E Columbia Ave.
Scappoose, OR 97056

Mailing address

624 N Stafford St
Portland, OR 97217-1580

Other identifiers 1

IdentifierTypeStateIssuer
226960MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20040308000202 OR Practitioner - Family Practice 4587552005 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Yale University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Professional ServicesGroup PAC ID 4880760107, 1,683 clinicians

Practice addresses (Care Compare)

15700 SW Greystone CT
Beaverton, OR 97006-6011
Phone (503) 494-3442

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311

3930 SE Division St
Portland, OR 97202-1643
Phone (503) 418-3900

51377 SW Old Portland Rd
Scappoose, OR 97056-4023
Phone (503) 418-4222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.11 of 100Reported as apm
Quality
84.29
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University Professional Services CurrentSince Jan 1, 2009 Accepting new patients
Tuality Healthcare CurrentSince Mar 14, 2018 Accepting new patients
Tuality Medical Group LLC CurrentSince Mar 14, 2018 Accepting new patients
Tuality Healthcare Family Medicine Current Accepting new patients
Tuality Healthcare CurrentSince Mar 14, 2018 Accepting new patients
University Professional Services CurrentSince Jan 1, 2009 Accepting new patients
Oregon Health & Science University CurrentSince Oct 1, 2004 Accepting new patients
Oregon Health & Science University CurrentSince Oct 1, 2004 Accepting new patients
Tuality Medical Group LLC CurrentSince Mar 14, 2018 Accepting new patients

Locations

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

2200 NE Professional Ct
Bend, OR 97701
Phone (541) 318-3548

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

2241 Lloyd Ctr
Portland, OR 97232

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

3930 SE Division St
Portland, OR 97202
Phone (503) 418-3900

4212 SE Division St
Ste 150
Portland, OR 97206
Phone (503) 418-1500

33721 E Columbia Ave
Scappoose, OR 97056
Phone (503) 418-4222

51377 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 418-4222

Interoperability endpoints

  • Direct secure messaging: bruggemd18654@direct.ohsu.edu

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316955842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 N STAFFORD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972171580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33721 E COLUMBIA AVE.",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "97056",
            "telephone_number": "503-418-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGE",
        "first_name": "JOHN",
        "middle_name": "BRUIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD22472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226960",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scappoose, OR

Sources for this page

Verify at the official NPI Registry.