Individual provider Active NPI

Thomas M Ruff, DO

  • Interventional Cardiology Physician
  • Dayton, OH
National Provider Identifier
1639178304
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
34006163 Issued in OH
Practice address
4160 Little York Rd
Ste. 20
Dayton, OH 45414-5800
Phone
(937) 454-9527
Fax
(937) 454-9532
NPI assigned
Jul 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 34006163 OH
Interventional Cardiology Physician 207RI0011X 34006163 OH Primary

Addresses

Primary practice location

4160 Little York Rd
Ste. 20
Dayton, OH 45414-5800

Mailing address

4160 Little York Rd
Suite 20
Dayton, OH 45414-5800
Phone (937) 454-9527

Other identifiers 3

IdentifierTypeStateIssuer
000000009514OtherOHANTHEM
P00905895OtherOHRAILROAD MEDICARE PIN
0128070MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address truff189112@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040407000674 OH Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3678566312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Chicago College of Osteopathy, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

1141 N Monroe Dr
Xenia, OH 45385-1619
Phone (937) 490-2270

1380 E Stroop Rd
Kettering, OH 45429-4926
Phone (937) 293-3486

3535 Pentagon Blvd
Beavercreek, OH 45431-1705

3535 Pentagon Park Blvd
Suite 400
Dayton, OH 45431-1705
Phone (937) 490-2264

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8646

3737 Southern Blvd
Suite 3000
Kettering, OH 45429-1262
Phone (866) 224-9472

4160 Little York Rd
Suite 20
Dayton, OH 45414-5803
Phone (937) 454-9527

425 W Grand Ave
Dayton, OH 45405-4722

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751

600 W Main St
Troy, OH 45373-3384

7677 Yankee St
Suite 140
Dayton, OH 45459-3475
Phone (866) 224-9472

8701 Old Troy Pike
Huber Heights, OH 45424-1053

Hospital & facility affiliations

  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
  • Kettering Health Troy Hospital, Troy, OH, CCN 360368
  • Kettering Health Miamisburg Hospital, Miamisburg, OH, CCN 360239
  • Soin Medical Center Hospital, Beaver Creek, OH, CCN 360360

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting34
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6163OHMDOptometrist
34006163OHMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Specialists of Dayton Inc. Cardiovascular Disease Current Accepting new patients
Kettering Independent Medical Group Inc Cardiovascular Disease CurrentSince Dec 29, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Dayton Osteopathic Hospital Past Accepting new patients

Locations

2510 Commons Blvd
Ste 125
Beavercreek, OH 45431
Phone (866) 224-9472

4160 Little York Rd
Ste 20
Dayton, OH 45414
Phone (937) 454-9327

425 W Grand Ave
Ste 2002
Dayton, OH 45405
Phone (937) 294-3611

450B Washington Jackson Rd
Ste 110
Eaton, OH 45320
Phone (513) 502-3132

1250 W National Rd
Ste 100B
Englewood, OH 45315
Phone (937) 222-2233

812 Central Ave
Greenville, OH 45331
Phone (937) 548-1522

8701 Old Troy Pike
Ste 240
Huber Heights, OH 45424
Phone (937) 233-4055

8701 Troy Pike
Ste 40A
Huber Heights, OH 45424
Phone (937) 233-5084

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

825 N Main St
Ste 230
Springboro, OH 45066
Phone (866) 224-9472

Organizations & group practices 4

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 5

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1639178304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 LITTLE YORK RD",
            "address_2": "SUITE 20",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454145800",
            "telephone_number": "937-454-9527",
            "fax_number": "937-454-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 LITTLE YORK RD",
            "address_2": "STE. 20",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454145800",
            "telephone_number": "937-454-9527",
            "fax_number": "937-454-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFF",
        "first_name": "THOMAS",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "34006163",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "34006163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000009514",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00905895",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0128070",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "truff189112@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "4160 Little York Rd",
            "address_2": "Ste. 20",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454145800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4160 Little York Rd",
            "address_2": "Ste. 20",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454145800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.