Individual provider Active NPI

Theodore D. Ruel, M.D.

  • Pediatrics Physician
  • San Francisco, CA
National Provider Identifier
1780610832
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A78286 Issued in CA
Practice address
1001 Potrero Ave
Mail Stop 6E
San Francisco, CA 94110-3518
Phone
(415) 206-8631
Fax
(415) 206-3686
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A78286 CA Primary
Pediatric Infectious Diseases Physician 2080P0208X A78286 CA

Addresses

Primary practice location

1001 Potrero Ave
Mail Stop 6E
San Francisco, CA 94110-3518

Mailing address

1001 Potrero Ave
Mail Stop 6E
San Francisco, CA 94110-3518
Phone (415) 206-8631

Other identifiers 1

IdentifierTypeStateIssuer
00A782860MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040607001637 CA Practitioner - Infectious DiseasePractitioner - Internal MedicinePractitioner - Pediatric Medicine 5092798512 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
78286CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Pediatrics Associates Pediatrics CurrentSince May 21, 2009 Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 14, 2021 Accepting new patients
University of California SFGH Medical Group CurrentSince May 30, 2017 Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 14, 2021 Accepting new patients
University of California San Francisco Pediatrics CurrentSince Feb 29, 2012 Accepting new patients
University of California SFGH Medical Group CurrentSince May 30, 2017 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California San Francisco CurrentSince Feb 29, 2012 Accepting new patients
University of California San Francisco Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

3333 California St
Ste 110
San Francisco, CA 94118

500 Parnassus Ave
Rm 410
San Francisco, CA 94143

505 Parnassus Ave
Rm 410
San Francisco, CA 94143

400 Parnassus Ave
Fl 2
San Francisco, CA 94143
Phone (415) 353-2008

1001 Potrero Ave
Stop 6E
San Francisco, CA 94110
Phone (415) 206-6723

1001 Potrero Ave
Rm 5H22
San Francisco, CA 94110
Phone (628) 206-4774

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

550 16th St
Fl 4
San Francisco, CA 94158
Phone (415) 353-7337

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

1825 4th St
San Francisco, CA 94143
Phone (415) 353-3000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

Interoperability endpoints

  • Direct secure messaging: truel10435@direct-ucsfmedicalcenter.org

Organizations & group practices 11

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1780610832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "address_2": "MAIL STOP 6E",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-8631",
            "fax_number": "415-206-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "address_2": "MAIL STOP 6E",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-8631",
            "fax_number": "415-206-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUEL",
        "first_name": "THEODORE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A78286",
            "primary": true
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "CA",
            "license": "A78286",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A782860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.