Individual provider Active NPI

Theodore A Ruff, MD

  • Surgery Physician
  • Midwest City, OK
National Provider Identifier
1477529139
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20876 Issued in OK
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

Updated by the provider on Aug 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100046880AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 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
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
Citizen Potawatomi NationGroup PAC ID 3375511488, 35 clinicians
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

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 Hospital, Shawnee, OK, CCN 370149
  • SSM Health St Anthony Hospital - Midwest Hospital, Midwest City, OK, CCN 370094
  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037

Merit-based Incentive Payment System (MIPS)

Final score
84.48 of 100Reported as group
Quality
81.18
Promoting interoperability
93
Improvement activities
40
Cost
72.93

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
80.43
Promoting interoperability
100
Improvement activities
40
Cost
72.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy28
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)18
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux34
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20876OKMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Surgical Group, PLLC Surgery CurrentSince Mar 1, 2012 Accepting new patients
Citizen Potawatomi Nation CurrentSince Jun 7, 2019 Accepting new patients
Citizen Potawatomi Nation Current Accepting new patients
Saints Medical Group, LLC CurrentSince Feb 7, 2022 Accepting new patients
Saints Medical Group, LLC CurrentSince Feb 7, 2022 Accepting new patients
Citizen Potawatomi Nation CurrentSince Jun 7, 2019 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 PastSince Apr 1, 2005 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEAHBA
  • FHIR API: https://epicproxy.et1447.epichosted.com/APIProxyPRD/api/FHIR/R4
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.