Individual provider Active NPI

Frederick W Ruymann, MD

  • Gastroenterology Physician
  • Cambridge, MA
National Provider Identifier
1568466316
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
71422 Issued in MA
Practice address
300 Mount Auburn St
Ste 405
Cambridge, MA 02138-5665
Phone
(617) 661-0221
Fax
(617) 661-3862
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 71422 MA Primary

Addresses

Primary practice location

300 Mount Auburn St
Ste 405
Cambridge, MA 02138-5665

Mailing address

300 Mount Auburn St
Ste 405
Cambridge, MA 02138-5502
Phone (617) 661-0221

Other identifiers 1

IdentifierTypeStateIssuer
3052788MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050406000259 MA Practitioner - Gastroenterology 2961459573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

525 Long Pond Dr
Harwich, MA 02645-1227
Phone (508) 430-3330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.23 of 100Reported as group
Quality
56.78
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy135
Upper gastrointestinal (GI) endoscopy for acid reflux408

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71422MAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Affiliates of Cape Cod, Inc. Gastroenterology CurrentSince Aug 6, 2017 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Aug 6, 2017 Accepting new patients
Cape Cod Hospital Inc Current Accepting new patients

Locations

525 Long Pond Dr
Harwich, MA 02645
Phone (508) 430-3311

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

105 Park St
Hyannis, MA 02601
Phone (508) 771-9599

Interoperability endpoints

  • Direct secure messaging: fruymann14194@direct.capecodhealthcare.masshiway.net

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1568466316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MOUNT AUBURN ST",
            "address_2": "STE 405",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385502",
            "telephone_number": "617-661-0221",
            "fax_number": "617-661-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MOUNT AUBURN ST",
            "address_2": "STE 405",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385665",
            "telephone_number": "617-661-0221",
            "fax_number": "617-661-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUYMANN",
        "first_name": "FREDERICK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "71422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3052788",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.