Individual provider Active NPI

Phillip Anthony Ruffo

  • Certified Registered Nurse Anesthetist
  • Rochester, NY
National Provider Identifier
1609205079
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
615975 Issued in NY
Practice address
601 Elmwood Ave Box 604
Rochester, NY 14642-0001
Phone
(585) 275-2141
NPI assigned
Nov 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NY
Certified Registered Nurse Anesthetist 367500000X 615975 NY Primary

Addresses

Primary practice location

601 Elmwood Ave Box 604
Rochester, NY 14642-0001

Mailing address

601 Elmwood Ave Box 604
Rochester, NY 14642-0001
Phone (585) 275-2141

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140213001026 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537398631 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Niagara Frontier Anesthesia Services LLPGroup PAC ID 8628963915, 17 clinicians

Practice addresses (Care Compare)

127 N St
Batavia, NY 14020-1631
Phone (716) 674-8189

200 Ohio St
Medina, NY 14103-1063
Phone (716) 674-8189

Hospital & facility affiliations

  • United Memorial Medical Center Hospital, Batavia, NY, CCN 330073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
615975NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Niagara Frontier Anesthesia Services LLP Nurse Anesthetist, Certified Registered CurrentSince Dec 15, 2014 Accepting new patients
Rochester General Hospital Current Accepting new patients
Rochester General Hospital CurrentSince Nov 2, 2015 Accepting new patients

Locations

200 Ohio St
Medina, NY 14103
Phone (585) 798-2000

10 Hagen Dr
Ste 110
Rochester, NY 14625
Phone (585) 267-7855

601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

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 3

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": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1609205079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 604",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 604",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFFO",
        "first_name": "PHILLIP",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-06",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "615975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.