Individual provider Active NPI

David Michael Ruggiero, DPM

  • Foot & Ankle Surgery Podiatrist
  • Riverside, RI
National Provider Identifier
1447214291
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM0299 Issued in RI
Practice address
1525 Wampanoag TRL
Suite 204
Riverside, RI 02915-1038
Phone
(401) 228-6710
Fax
(401) 228-6717
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X DPM0299 RI Primary

Addresses

Primary practice location

1525 Wampanoag TRL
Suite 204
Riverside, RI 02915-1038

Mailing address

649 East Ave
Pawtucket, RI 02860-6157
Phone (401) 305-3800

Other identifiers 6

IdentifierTypeStateIssuer
05-0484592OtherRITUFTS
05-0484592OtherRIUNITED HEALTHCARE
DR47652MedicaidRI
409956OtherRIBLUE CHIP
2642-0OtherRIBC BS
3118118OtherRIAETNA US HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100526000372 MA Practitioner - Podiatry 9234130626 Reassigns benefits to 1 organization
I20100819001105 RI Practitioner - Podiatry 9234130626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rhode Island Foot Care, Inc.Group PAC ID 7214902469, 9 clinicians

Practice addresses (Care Compare)

1524 Atwood Ave
Suite 344
Johnston, RI 02919-3228
Phone (401) 273-5800

1525 Wampanoag TRL
Suite 204
Riverside, RI 02915-1038
Phone (401) 228-6710

649 E Ave
Pawtucket, RI 02860-6157
Phone (401) 305-5088

738 Washington St
Attleboro, MA 02703-6948
Phone (508) 761-6045

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue203
Removal of skin lesions51
Removal of nail tissue1383
Removal or shaving of skin growth764

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DPM0299RIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Foot Care, Inc Foot & Ankle Surgery CurrentSince Jan 1, 2010 Accepting new patients
East Providence Footcare,Inc. PastSince Sep 13, 2002 Accepting new patients

Locations

738 Washington St
South Attleboro, MA 02703
Phone (508) 761-6025

1524 Atwood Ave
Ste 344
Johnston, RI 02919
Phone (401) 270-5395

649 East Ave
Pawtucket, RI 02860
Phone (401) 305-3800

1525 Wampanoag Trl
Ste 204
Riverside, RI 02915
Phone (401) 228-6710

Organizations & group practices 2

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.

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1447214291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 EAST AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606157",
            "telephone_number": "401-305-3800",
            "fax_number": "401-305-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 WAMPANOAG TRL",
            "address_2": "SUITE 204",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151038",
            "telephone_number": "401-228-6710",
            "fax_number": "401-228-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGIERO",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "RI",
            "license": "DPM0299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "05-0484592",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "05-0484592",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DR47652",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "409956",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "2642-0",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "3118118",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, RI

Sources for this page

Verify at the official NPI Registry.