Individual provider Active NPI

Richard Charles Ruck II, M.D.

  • Pediatrics Physician
  • Bethesda, MD
National Provider Identifier
1447351531
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
32895 Issued in KY
Practice address
4494 Palmer Rd N
Walter Reed NMMC
Bethesda, MD 20814
Phone
(571) 423-9616
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X 162326 FL
Pediatrics Physician 208000000X 32895 KY Primary

Addresses

Primary practice location

4494 Palmer Rd N
Walter Reed NMMC
Bethesda, MD 20814

Mailing address

5331 SW 7TH Avenue Rd
Ocala, FL 34471-7465
Phone (571) 423-9616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, KY2 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
I20140424001433 DC Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 6002049285
I20230325000136 KY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 6002049285

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
162326FLMDPediatric Infectious Diseases Physician

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1447351531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5331 SW 7TH AVENUE RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717465",
            "telephone_number": "571-423-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4494 PALMER RD N",
            "address_2": "WALTER REED NMMC",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20814",
            "telephone_number": "571-423-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCK",
        "first_name": "RICHARD",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "FL",
            "license": "162326",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "32895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.