Individual provider Active NPI

Todd Ruth, M.D.

  • Interventional Pain Medicine Physician
  • Baltimore, MD
National Provider Identifier
1437569779
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
D0086636 Issued in MD
Practice address
4660 Wilkens Ave Ste 302
Baltimore, MD 21229-4845
Phone
(443) 693-7246
Fax
(443) 388-8075
NPI assigned
May 7, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D0086636 MD
Internal Medicine Physician 207R00000X MT206248 PA
Interventional Pain Medicine Physician 208VP0014X D0086636 MD Primary

Addresses

Primary practice location

4660 Wilkens Ave Ste 302
Baltimore, MD 21229-4845

Mailing address

2 Park Center CT Ste 200
Owings Mills, MD 21117-4221
Phone (443) 693-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190624000400 MD Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Pain Management 0345574406 Reassigns benefits to 2 organizations
I20190624000651 DC Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Pain Management 0345574406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Jefferson Medical College of Thomas Jefferson University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Pain Management Specialists LLCGroup PAC ID 3173513959, 76 clinicians

Practice addresses (Care Compare)

19851 Observation Dr
Suite 360
Germantown, MD 20876-4141
Phone (410) 571-2946

4660 Wilkens Ave
Suite 302
Baltimore, MD 21229-4845
Phone (410) 571-2946

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT206248PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management Specialists, LLC Anesthesiology CurrentSince May 21, 2019 Accepting new patients
Advanced Pain Management Specialists, LLC Interventional Pain Medicine CurrentSince May 21, 2019 Accepting new patients
Clearway Anesthesia Services NE LLC Anesthesiology CurrentSince May 9, 2022 Accepting new patients
Frederick Health Hospital Inc Interventional Pain Medicine Past Accepting new patients
Advanced Pain Management Specialists, LLC Past Accepting new patients

Locations

810 Bestgate Rd
Ste 120
Annapolis, MD 21401

810 Bestgate Rd
Ste 220
Annapolis, MD 21401
Phone (800) 997-2460

4660 Wilkens Ave
Ste 302
Baltimore, MD 21229
Phone (301) 644-5113

598 Cynwood Dr
Ste 103
Easton, MD 21601
Phone (410) 820-7040

19851 Observation Dr
Ste 360
Germantown, MD 20876

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

9 Park Center Ct
Ste 100
Owings Mills, MD 21117
Phone (410) 205-7667

7920 McDonogh Rd
Ste 201
Owings Mills, MD 21117
Phone (443) 321-2590

120 Sallitt Dr
#D
Stevensville, MD 21666
Phone (410) 923-2714

826 Washington Rd
Ste 102
Westminster, MD 21157
Phone (410) 386-6116

826 Washington Rd
Ste 210
Westminster, MD 21157
Phone (410) 346-5163

Interoperability endpoints

  • Direct secure messaging: todd.ruth.1@11679.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1437569779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PARK CENTER CT STE 200",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174221",
            "telephone_number": "443-693-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 WILKENS AVE STE 302",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212294845",
            "telephone_number": "443-693-7246",
            "fax_number": "443-388-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTH",
        "first_name": "TODD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-07",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0086636",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT206248",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MD",
            "license": "D0086636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.