Individual provider Active NPI

Jason P Ruggiero, MD

  • Retina Specialist (Ophthalmology) Physician
  • Winchester, VA
National Provider Identifier
1467635862
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
0101253723 Issued in VA
Practice address
190 Campus Blvd
Suite 320
Winchester, VA 22601-2872
Phone
(540) 722-3500
Fax
(540) 722-3536
NPI assigned
Dec 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101253723 VA
Ophthalmology Physician 207W00000X 32386 WV
Retina Specialist (Ophthalmology) Physician 207WX0107X 32386 WV
Retina Specialist (Ophthalmology) Physician 207WX0107X 0101253723 VA Primary

Addresses

Primary practice location

190 Campus Blvd
Suite 320
Winchester, VA 22601-2872

Mailing address

190 Campus Blvd
Suite 320
Winchester, VA 22601-2872
Phone (540) 722-3500

Other practice location 1

1008 Tavern Rd Ste 203
Martinsburg, WV 25401-2801
Phone (540) 722-3500

Other identifiers 2

IdentifierTypeStateIssuer
1467635862MedicaidVA
1467635862MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jruggiero124151@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV2 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
I20130923000087 VA Practitioner - Ophthalmology 9032389028 Reassigns benefits to 2 organizations
I20230906002687 WV Practitioner - Ophthalmology 9032389028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Associates, PCGroup PAC ID 0547231805, 6 clinicians

Practice addresses (Care Compare)

1008 Tavern Rd
Suite 203
Martinsburg, WV 25401-2801
Phone (540) 722-3500

190 Campus Blvd
Suite 320
Winchester, VA 22601-2872
Phone (540) 722-3500

Hospital & facility affiliations

  • Winchester Medical Center Hospital, Winchester, VA, CCN 490005

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center CurrentSince Jun 1, 2015 Accepting new patients
Winchester Medical Center CurrentSince Jun 1, 2015 Accepting new patients

Locations

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

190 Campus Blvd
Ste 320
Winchester, VA 22601
Phone (540) 722-3500

Interoperability endpoints

  • Direct secure messaging: jruggiero124151@soc.inova.org

Organizations & group practices 4

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 2

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": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1467635862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 CAMPUS BLVD",
            "address_2": "SUITE 320",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012872",
            "telephone_number": "540-722-3500",
            "fax_number": "540-722-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CAMPUS BLVD",
            "address_2": "SUITE 320",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012872",
            "telephone_number": "540-722-3500",
            "fax_number": "540-722-3536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1008 Tavern Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254012801",
            "country_code": "US",
            "telephone_number": "540-722-3500",
            "fax_number": "540-722-3536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUGGIERO",
        "first_name": "JASON",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-10",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101253723",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "32386",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "WV",
            "license": "32386",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "VA",
            "license": "0101253723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467635862",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467635862",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jruggiero124151@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.