NPIMap

Individual provider Active NPI

Shelene S. Ruggio, M.D.

  • Internal Medicine Physician
  • Lagrange, IN
National Provider Identifier
1619087707
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01062633A Issued in IN
Practice address
2500 N Detroit St
Lagrange, IN 46761-1158
Phone
(260) 463-2133
Fax
(260) 463-3775
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 01062633A IN
Internal Medicine Physician 207R00000X 01062633A IN Primary

Addresses

Primary practice location

2500 N Detroit St
Lagrange, IN 46761-1158

Mailing address

PO Box 236
Lagrange, IN 46761-0236
Phone (260) 463-2133

Other identifiers 4

IdentifierTypeStateIssuer
000000488751OtherINANTHEM
200832040MedicaidIN
2718303MedicaidOH
P00390092OtherRAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061228000326 IN Practitioner - General PracticePractitioner - Internal Medicine 2062306681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Internal Medicine
Education
Indiana University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Internal Medicine Associates, PCGroup PAC ID 7113830688, 52 clinicians

Practice addresses (Care Compare)

2500 N Detroit St
Lagrange, IN 46761-1158
Phone (260) 463-2133

Hospital & facility affiliations

  • Parkview Hospice Hospice, Fort Wayne, IN, CCN 151552
  • Parkview Whitley Hospital Hospital, Columbia City, IN, CCN 150101
  • Parkview Noble Hospital Hospital, Kendallville, IN, CCN 150146
  • Parkview Lagrange Hospital Hospital, Lagrange, IN, CCN 151323
  • Parkview Huntington Hospital Hospital, Huntington, IN, CCN 150091
  • Parkview Wabash Hospital, Inc Hospital, Wabash, IN, CCN 151310
  • Parkview Lagrange Hospital Nursing home, CCN 15Z323

Merit-based Incentive Payment System (MIPS)

Final score
38.88 of 100Reported as individual
Quality
36.67
Improvement activities
0
Cost
61.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01062633AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Internal Medicine Associates, PC Internal Medicine CurrentSince May 1, 2025 Accepting new patients
Northeast Internal Medicine Associates, PC PastSince May 4, 2025 Accepting new patients

Locations

2500 N Detroit St
Lagrange, IN 46761
Phone (260) 463-2133

Interoperability endpoints

  • Direct secure messaging: sruggio10193@direct.parkviewexchange.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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1619087707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "467610236",
            "telephone_number": "260-463-2133",
            "fax_number": "260-463-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N DETROIT ST",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "467611158",
            "telephone_number": "260-463-2133",
            "fax_number": "260-463-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGIO",
        "first_name": "SHELENE",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01062633A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01062633A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000488751",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200832040",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2718303",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00390092",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, IN

Sources for this page

Verify at the official NPI Registry.