NPIMap

Individual provider Active NPI

Alfred J Rufty Jr., MD

  • Cardiovascular Disease Physician
  • Winston Salem, NC
National Provider Identifier
1629037387
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
16546 Issued in NC
Practice address
150 Charlois Blvd
Suite 223
Winston Salem, NC 27103-1549
Phone
(336) 765-2500
Fax
(336) 765-2555
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 16546 NC Primary

Addresses

Primary practice location

150 Charlois Blvd
Suite 223
Winston Salem, NC 27103-1549

Mailing address

150 Charlois Blvd
Suite 223
Winston Salem, NC 27103-1549
Phone (336) 765-2500

Other identifiers 3

IdentifierTypeStateIssuer
8973970OtherNCMEDICAID
1629037387OtherVAMEDICAID
73970OtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16546NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BT Heart and Vascular Center, PLLC Cardiovascular Disease Past Accepting new patients
BT Heart and Vascular Center, PLLC Cardiovascular Disease Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1629037387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CHARLOIS BLVD",
            "address_2": "SUITE 223",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031549",
            "telephone_number": "336-765-2500",
            "fax_number": "336-765-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CHARLOIS BLVD",
            "address_2": "SUITE 223",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031549",
            "telephone_number": "336-765-2500",
            "fax_number": "336-765-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFTY",
        "first_name": "ALFRED",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "16546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "8973970",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "1629037387",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "73970",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.