Individual provider Active NPI

Robert A Ruggiero Jr., M.D.

  • Orthopaedic Surgery Physician
  • Paoli, PA
National Provider Identifier
1548271349
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD055202L Issued in PA
Practice address
4 Industrial Blvd Ste 165
Paoli, PA 19301-1605
Phone
(610) 644-6900
Fax
(833) 941-3871
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X MD055202L PA
Orthopaedic Surgery Physician 207X00000X MD055202L PA Primary

Addresses

Primary practice location

4 Industrial Blvd Ste 165
Paoli, PA 19301-1605

Mailing address

PO Box 34990
Belfast, ME 04915-0627
Phone (610) 644-6902

Other identifiers 1

IdentifierTypeStateIssuer
001739053-0005MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050505000086 PA Practitioner - Orthopedic Surgery 4789624180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

1396 Wilmington Pike
West Chester, PA 19382-8218
Phone (610) 399-1138

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

2004 Sproul Rd
FL 1
Broomall, PA 19008-3511
Phone (610) 353-0800

201 2ND Ave
Collegeville, PA 19426-3613
Phone (610) 489-7703

300 Springhouse Dr
Collegeville, PA 19426-4021
Phone (610) 489-4745

321 N Furnace St
Birdsboro, PA 19508-2057
Phone (610) 582-2250

4 Industrial Blvd
Paoli, PA 19301-1605

470 John Young Way
Suite 100
Exton, PA 19341-2557
Phone (610) 363-6589

491 John Young Way
Suite 210
Exton, PA 19341-2567
Phone (610) 524-7251

525 W Chester Pike
Suite 101a
Havertown, PA 19083-4539
Phone (610) 449-2000

656 E Swedesford Rd
Suite 101
Wayne, PA 19087-1622
Phone (484) 768-9106

688 Downingtown Pike
West Chester, PA 19380-2226
Phone (484) 787-0200

834 Chestnut St
Suite G114
Philadelphia, PA 19107-5114
Phone (215) 521-3001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement20
Knee replacement12
Spinal fusion28
Lower limb (leg) arthroscopy (minimally invasive joint repair)12
Laminectomy or laminotomy (partial removal of spine bones)32
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic and Sports Medicine Associates LTD Orthopaedic Surgery CurrentSince Mar 1, 2013 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates, LTD Orthopaedic Surgery CurrentSince Mar 1, 2013 Accepting new patients
Orthopedic Sports & Arthritis Surgery Orthopaedic Surgery Past Accepting new patients

Locations

2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800

300 Springhouse Dr
Ste 200
Collegeville, PA 19426
Phone (610) 409-2754

491 John Young Way
Ste 210
Exton, PA 19341
Phone (610) 524-7251

266 Lancaster Ave
Ste 200
Malvern, PA 19355
Phone (610) 640-4133

3809 West Chester Pike
Ste 150
Newtown Square, PA 19073
Phone (484) 356-9401

4 Industrial Blvd
Ste 165
Paoli, PA 19301
Phone (610) 359-5640

Interoperability endpoints

  • Direct secure messaging: robert.ruggiero.1@22724.direct.athenahealth.com

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 8

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1548271349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34990",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150627",
            "telephone_number": "610-644-6902",
            "fax_number": "833-941-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 INDUSTRIAL BLVD STE 165",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011605",
            "telephone_number": "610-644-6900",
            "fax_number": "833-941-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGIERO",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "PA",
            "license": "MD055202L",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD055202L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001739053-0005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.