Individual provider Active NPI

Brett E Ruffo, MD

  • Colon & Rectal Surgery Physician
  • Riverhead, NY
National Provider Identifier
1477758274
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
240902-1 Issued in NY
Practice address
34 Commerce Dr
Suite 1
Riverhead, NY 11901-3118
Phone
(631) 727-5065
Fax
(631) 727-5413
NPI assigned
Jun 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 240902-1 NY Primary

Addresses

Primary practice location

34 Commerce Dr
Suite 1
Riverhead, NY 11901-3118

Mailing address

185 Old Country Rd
Suite 2
Riverhead, NY 11901-2121
Phone (631) 298-4479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070824000457 NY Practitioner - Colorectal Surgery (Proctology) 5193817906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peconic Bay Primary Medical CareGroup PAC ID 7113817602, 72 clinicians

Practice addresses (Care Compare)

34 Commerce Ave
Riverhead, NY 11901-3118
Phone (631) 727-1600

496 County Rd
111 BLDG B
Manorville, NY 11949-3386
Phone (631) 405-3200

504 Main St
Suite B
Center Moriches, NY 11934-2232
Phone (631) 878-2222

504 Montauk Hwy
Suite B
Center Moriches, NY 11934-2232
Phone (631) 878-2222

80 E Montauk Hwy
Suite 102
Hampton Bays, NY 11946-1878
Phone (631) 728-4500

895 Old Country Rd
Suite 300
Riverhead, NY 11901-2154
Phone (631) 727-5065

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy77
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240902-1NYMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peconic Bay Primary Medical Care CurrentSince Jul 1, 2007 Accepting new patients
Central Suffolk Hospital Past Accepting new patients
Prime Care Medical of Long Island, PC Past Accepting new patients

Locations

80 E Montauk Hwy
Ste 102
Hampton Bays, NY 11946
Phone (631) 369-5000

896 Old Country Rd
Ste 300
Riverhead, NY 11901

34 Commerce Ave
Ste 1
Riverhead, NY 11901
Phone (631) 369-4370

34 Commerce Ave
Riverhead, NY 11901
Phone (631) 591-3000

185 Old Country Rd
Ste 2
Riverhead, NY 11901
Phone (631) 298-4479

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: bruffo65060@northwell.direct-ci.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1477758274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 OLD COUNTRY RD",
            "address_2": "SUITE 2",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012121",
            "telephone_number": "631-298-4479",
            "fax_number": "631-591-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 COMMERCE DR",
            "address_2": "SUITE 1",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119013118",
            "telephone_number": "631-727-5065",
            "fax_number": "631-727-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFFO",
        "first_name": "BRETT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NY",
            "license": "240902-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.