John Daniel Ruff, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

016003701 Issued in IL

Practice address

614 Spring St
Peoria, IL 61603-4133

Phone

(309) 637-3668

Fax

(309) 637-2325

NPI assigned

Jul 14, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Central Illinois Nerve Testing LTD

  • Primary Podiatric Medicine Podiatrist
  • Peoria, IL
  • NPI 1386802775
  NPD (past) Authorized official
• Acpm Podiatry Group, LTD

  • Foot & Ankle Surgery Podiatrist
  • Peoria, IL
  • NPI 1730261363

  Primary Podiatric Medicine

  NPD (past)
• Podiatric Management Systems LLC

  • Primary Podiatric Medicine Podiatrist
  • Lake Zurich, IL
  • NPI 1396968053
  NPD (past)

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248393600000",
    "number": "1366440166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 SPRING ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616034133",
            "telephone_number": "309-637-3668",
            "fax_number": "309-637-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 SPRING ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616034133",
            "telephone_number": "309-637-3668",
            "fax_number": "309-637-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFF",
        "first_name": "JOHN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2009-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IL",
            "license": "016003701",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016003701",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016003701",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTRAL ILLINOIS NERVE TESTING LTD",
            "identifier": "1386802775",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEORIA PODIATRY GROUP PC",
            "identifier": "1588813133",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "-ASSOCIATE RACHEL GRIEDER DPM",
            "identifier": "1588813133",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Nichole Ruder, FNP-C
• Kaitlyn Rudolph
• Neal W Rudy, MD
• Emily Rose Ruedi, NP
• Martin A Ruelas, D.M.D
• Olivia Eleanor Ruff
• Edward A Rufus Jr, MD
• Deborah Rufus, APN
• Lauren Rumler
• Caleb Rumple

• Primary Podiatric Medicine Podiatrist in Peoria, IL
• Providers in Peoria, IL by specialty
• Primary Podiatric Medicine Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; 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.