Individual provider Active NPI

Ewa T Ruggieri, M.D.

  • Internal Medicine Physician
  • Essex, CT
National Provider Identifier
1447203393
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
214806 Issued in NY
Practice address
147 Westbrook Rd
Essex, CT 06426-1512
Phone
(860) 767-8265
Fax
(860) 358-8653
NPI assigned
May 19, 2006
Last updated
Oct 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD16857 RI
Internal Medicine Physician 207R00000X 214806 NY Primary

Addresses

Primary practice location

147 Westbrook Rd
Essex, CT 06426-1512

Mailing address

45 Wells St
Ste 201
Westerly, RI 02891-2927
Phone (401) 637-7200

Other identifiers 2

IdentifierTypeStateIssuer
01987939MedicaidNY
008063529MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI2 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
I20160119001212 CT Practitioner - Internal Medicine 6901932763 Reassigns benefits to 2 organizations
I20191101001062 RI Practitioner - Internal Medicine 6901932763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Associates LLCGroup PAC ID 9234156985, 208 clinicians

Practice addresses (Care Compare)

25 Wells St
Westerly, RI 02891-2922
Phone (401) 348-3325

365 Montauk Ave
New London, CT 06320-4700
Phone (860) 442-0711

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD16857RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Internal Medicine CurrentSince Dec 9, 2019 Accepting new patients
Hospital Medicine Associates LLC Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Jan 4, 2021 Accepting new patients
Hamid Behzadi MD FCCP FCCM PLLC Internal Medicine Past Accepting new patients
Doctor's Cardio-Vascular Imaging, P.C. Internal Medicine Past Accepting new patients
L&M Physician Association, Inc Internal Medicine Past Accepting new patients

Locations

23 Clara Dr
Mystic, CT 06355
Phone (860) 443-7907

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

25 Wells St
Westerly, RI 02891
Phone (401) 348-3325

45 East Ave
Westerly, RI 02891
Phone (401) 596-6000

45 Wells St
Ste 201
Westerly, RI 02891
Phone (401) 637-7200

Interoperability endpoints

  • Direct secure messaging: eruggieri331651@direct.ynhh.org

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1447203393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WELLS ST",
            "address_2": "STE 201",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912927",
            "telephone_number": "401-637-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 WESTBROOK RD",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261512",
            "telephone_number": "860-767-8265",
            "fax_number": "860-358-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGIERI",
        "first_name": "EWA",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD16857",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "214806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01987939",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008063529",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex, CT

Sources for this page

Verify at the official NPI Registry.