Robert Owen Ruder, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

G21536 Issued in CA

Practice address

8816 Burton Way First Floor
Beverly Hills, CA 90211-1715

Phone

(310) 285-9612

Fax

(310) 285-9615

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

No

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 CA

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

Specialty

OtolaryngologyAlso: Plastic and Reconstructive Surgery

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Robert O Ruder M D a Professional Corporation

  • Facial Plastic Surgery Physician
  • Beverly Hills, CA
  • NPI 1467780270
  Medicare reassignment NPD Authorized official
• Brotman Medical Center, Inc.

  • Skilled Nursing Facility
  • Culver City, CA
  • NPI 1518997733
  NPD (past)
• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1639172372
  NPD (past)
• Jeffrey Jumaily MD Inc

  • Otolaryngology Physician
  • Beverly Hills, CA
  • NPI 1083135065
  NPD (past)
• Southern California Healthcare System, Inc

  • Psychiatric Hospital Unit
  • Culver City, CA
  • NPI 1487905725
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417049024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8816 BURTON WAY FIRST FLOOR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111715",
            "telephone_number": "310-285-9612",
            "fax_number": "310-285-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8816 BURTON WAY FIRST FLOOR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111715",
            "telephone_number": "310-285-9612",
            "fax_number": "310-285-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDER",
        "first_name": "ROBERT",
        "middle_name": "OWEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G21536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G215360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irwin Ruben, M.D.
• Mark G. Rubin, MD
• Mark J Rubin, MD
• Paige Rubin
• Steven B Rubins, M.D.
• Jonathan David Rudner, D.D.S.
• Lanny Rudner, MD
• Carla Ruggieri
• Kelli Rugless, PSY.D.
• Sofia Ruiz Maiz, APCC

• Otolaryngology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.