Active NPI
Theodore A Ruff, MD
- Surgery Physician
- Midwest City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 20876
- Practice address
- 1001 S Douglas Blvd
Suite a
Midwest City, OK 73130-5251 - Phone
- (405) 733-3030
- Fax
- (405) 733-3865
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 20876 | OK | Primary |
Addresses
Primary practice location
1001 S Douglas Blvd
Suite a
Midwest City, OK 73130-5251
Mailing address
2525 NW Expressway
Suite 610
Oklahoma City, OK 73112
Phone (405) 286-9465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100046880A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050422000841 | OK | Practitioner - General Surgery | 1456399831 | Reassigns benefits to 2 organizations |
| I20190626002551 | TX | Practitioner - General Surgery | 1456399831 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Vanderbilt University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2307 Gordon Cooper Dr
Shawnee, OK 74801-9007
Phone (405) 273-5236
608 NW 9TH St
Suite 1100
Oklahoma City, OK 73102-1068
Phone (405) 231-3000
781 Grand Casino Blvd
Shawnee, OK 74804-1005
Phone (405) 964-4025
Hospital & facility affiliations
- SSM Health St Anthony Hospital - Shawnee
- SSM Health St Anthony Hospital - Midwest
- SSM Health St Anthony Hospital - Oklahoma City
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.48 of 100
- Quality
- 81.18
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 72.93
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.96 of 100
- Quality
- 80.43
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.76
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 28 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 18 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 34 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20876 | OK | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma Surgical Group, PLLC | Surgery | Current | Accepting new patients |
| Citizen Potawatomi Nation | Current | Accepting new patients | |
| Citizen Potawatomi Nation | Current | Accepting new patients | |
| Saints Medical Group, LLC | Current | Accepting new patients | |
| Saints Medical Group, LLC | Current | Accepting new patients | |
| Citizen Potawatomi Nation | Current | Accepting new patients | |
| Norman Regional Providers Primary Care | Past | Accepting new patients | |
| SSM Health Care of Oklahoma, Inc | Past | Accepting new patients | |
| Surgical Specialists of Oklahoma PLLC | Surgery | Past | Accepting new patients |
| Surgical Specialists of Oklahoma | Past | Accepting new patients | |
| St Anthony Shawnee Hospital Inc | Surgery | Past | Accepting new patients |
| St Anthony Shawnee Hospital Inc | Past | Accepting new patients |
Locations
6205 N Santa Fe Ave
Ste 201
Oklahoma City, OK 73118
Phone (405) 272-5500
2525 NW Expressway
Ste 610
Oklahoma City, OK 73112
Phone (405) 242-2181
608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000
608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737
9020 E Reno Ave
Oklahoma City, OK 73130
Phone (405) 732-7020
3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801
781 Grand Casino Blvd
Shawnee, OK 74804
Phone (405) 964-4025
1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270
2307 Gordon Cooper Dr
Shawnee, OK 74801
Phone (405) 273-5236
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EEAHBA
- https://epicproxy.et1447.epichosted.com/APIProxyPRD/api/FHIR/R4
- truff834@yourcarecommunity.org
Organizations & group practices 12
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.
-
- Federally Qualified Health Center (FQHC)
- Shawnee, OK
- NPI 1194752949
-
- Chiropractor
- Shawnee, OK
- NPI 1427659523
-
- Durable Medical Equipment & Medical Supplies
- Edmond, OK
- NPI 1730907700
-
- Family Medicine Physician
- Norman, OK
- NPI 1548398274
-
- General Acute Care Hospital
- Midwest City, OK
- NPI 1700471497
-
- General Acute Care Hospital
- Shawnee, OK
- NPI 1134123193
-
- Durable Medical Equipment & Medical Supplies
- Midwest City, OK
- NPI 1154636595
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Midwest City, OK
- NPI 1700471497
Hospital
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1366545311
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470614400000",
"number": "1477529139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 NW EXPRESSWAY",
"address_2": "SUITE 610",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73112",
"telephone_number": "405-286-9465",
"fax_number": "405-286-9462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S DOUGLAS BLVD",
"address_2": "SUITE A",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731305251",
"telephone_number": "405-733-3030",
"fax_number": "405-733-3865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUFF",
"first_name": "THEODORE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2016-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "20876",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100046880A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.