Individual provider Active NPI

J Jeffrey Ruegemer, MD

  • Specialist
  • Edina, MN
National Provider Identifier
1326007709
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25479 Issued in MN
Practice address
7701 York Ave S
Suite 180
Edina, MN 55435-5845
Phone
(952) 927-7810
Fax
(952) 927-6309
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25479 MN Primary

Addresses

Primary practice location

7701 York Ave S
Suite 180
Edina, MN 55435-5845

Mailing address

7701 York Ave S
Suite 180
Edina, MN 55435-5845
Phone (952) 927-7810

Other identifiers 11

IdentifierTypeStateIssuer
171295100MedicaidMN
53968RUOtherMNBLUE CROSS BLUE SHIELD
3317034OtherMNMEDICA CHOICE
115602C626OtherMNUCARE
0256006OtherMNSELECT CARE
108479OtherMNPATIENT CHOICE
960540799003OtherMNPREFERRED ONE
HP14289OtherMNHEALTH PARTNER
21003OtherMNAMERICA'S PPO
3300003OtherMNMEDICA PRIMARY
410999025OtherFMTRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25479MNMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1326007709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 YORK AVE S",
            "address_2": "SUITE 180",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355845",
            "telephone_number": "952-927-7810",
            "fax_number": "952-927-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 YORK AVE S",
            "address_2": "SUITE 180",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355845",
            "telephone_number": "952-927-7810",
            "fax_number": "952-927-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUEGEMER",
        "first_name": "J",
        "middle_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "25479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171295100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "53968RU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA CHOICE",
            "identifier": "3317034",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "115602C626",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT CARE",
            "identifier": "0256006",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PATIENT CHOICE",
            "identifier": "108479",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "960540799003",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNER",
            "identifier": "HP14289",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO",
            "identifier": "21003",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA PRIMARY",
            "identifier": "3300003",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "410999025",
            "state": "FM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.