Active NPI
Sun Young Ruggeri, MD
- Dermatology Physician
- Brookfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 47562-202
- Practice address
- 13800 W North Ave
Ste 100
Brookfield, WI 53005-4974 - Phone
- (262) 754-4488
- Fax
- (262) 754-4940
- NPI assigned
- Nov 15, 2006
- Last updated
- Jul 26, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 47562-202 | WI | Primary |
Addresses
Primary practice location
13800 W North Ave
Ste 100
Brookfield, WI 53005-4974
Mailing address
13800 W North Ave
Ste 100
Brookfield, WI 53005-4974
Phone (262) 754-4488
Other practice location 1
10000 W Bluemound Rd
Wauwatosa, WI 53226-4321
Phone (414) 454-8000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00430684 | Other | WI | RAILROAD MEDICARE |
| 34925900 | Medicaid | WI | |
| 475622000002 | Other | WI | BLUE CROSS BLUE SHEILD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Baylor College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10000 W Bluemound Rd
Wauwatosa, WI 53226-4321
Phone (414) 454-8000
13800 W N Ave
Suite 100
Brookfield, WI 53005-4977
Phone 2627544488119
8701 W Watertown Plank
Milwaukee, WI 53226-3548
Phone (414) 805-3666
8701 Watertown Plank Rd
Room 4041 MFRC
Milwaukee, WI 53226-3548
Phone (414) 805-3666
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.99 of 100
- Quality
- 82.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.15
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.13 of 100
- Quality
- 90.63
- Improvement activities
- 40
- Cost
- 82.92
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 14 |
| Removal of skin lesions | 985 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 218 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47562-202 | WI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Dermatologists, SC | Dermatology | Current | Accepting new patients |
| Affiliated Dermatologists SC | Dermatology | Current | Accepting new patients |
| The Medical College of Wisconsin, Inc. | Dermatology | Current | Accepting new patients |
| Affiliated Dermatologists SC | Dermatology | Past | Accepting new patients |
| The Medical College of Wisconsin Inc | Past | Accepting new patients |
Locations
13800 W North Ave
Ste 100
Brookfield, WI 53005
Phone (262) 754-4488
14555 W National Ave
Ste 190
New Berlin, WI 53151
Phone (262) 754-4488
1111 Delafield St
Ste 308
Waukesha, WI 53188
Phone (262) 542-4251
10000 W Bluemound Rd
Wauwatosa, WI 53226
Phone (414) 456-3000
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
Interoperability endpoints
- yruggerimd7558@direct.froedtert.com
Organizations & group practices 5
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.
-
- Dermatology Physician
- Brookfield, WI
- NPI 1407849011
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
Dermatology
-
- MOHS-Micrographic Surgery Physician
- Oak Creek, WI
- NPI 1316656721
Dermatology
-
- Dermatology Physician
- New Berlin, WI
- NPI 1194711853
-
- Case Management Agency
- Milwaukee, WI
- NPI 1649521105
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CDI-Froedtert Memorial Lutheran Hospital
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1255334173
-
- General Acute Care Hospital
- Waukesha, WI
- NPI 1629056890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1427121979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13800 W NORTH AVE",
"address_2": "STE 100",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530054974",
"telephone_number": "262-754-4488",
"fax_number": "262-754-4940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13800 W NORTH AVE",
"address_2": "STE 100",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530054974",
"telephone_number": "262-754-4488",
"fax_number": "262-754-4940"
}
],
"practiceLocations": [
{
"address_1": "10000 W Bluemound Rd",
"address_purpose": "LOCATION",
"city": "Wauwatosa",
"state": "WI",
"postal_code": "532264321",
"country_code": "US",
"telephone_number": "414-454-8000",
"fax_number": "414-805-3808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUGGERI",
"first_name": "SUN YOUNG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WI",
"license": "47562-202",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00430684",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34925900",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "475622000002",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.