Individual provider Active NPI

Scott Edwin Ruder, MD

  • Psychiatry Physician
  • Nashville, TN
National Provider Identifier
1790733939
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
025663 Issued in TN
Practice address
345 24TH Ave N
Ste 208
Nashville, TN 37203-1520
Phone
(615) 327-3620
Fax
(615) 329-0659
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 025663 TN Primary

Addresses

Primary practice location

345 24TH Ave N
Ste 208
Nashville, TN 37203-1520

Mailing address

3 Middleton Park LN
Nashville, TN 37215-5323
Phone (615) 327-3620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20070810000373 TN Practitioner - PsychiatryPractitioner - Geriatric PsychiatryPractitioner - Neuropsychiatry 5799876348 Reassigns benefits to 1 organization
Practice locations: Nashville, TN

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry, Neuropsychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cool Springs Psychiatric Group PLCGroup PAC ID 7315330966, 11 clinicians

Practice addresses (Care Compare)

1909 Mallory LN
Suite 200
Franklin, TN 37067-2842
Phone (615) 771-1100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025663TNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cool Springs Psychiatric Group PLC Psychiatry CurrentSince Mar 9, 2024 Accepting new patients

Locations

1909 Mallory Ln
Ste 200
Franklin, TN 37067
Phone (615) 771-1100

Organizations & group practices 1

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790733939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MIDDLETON PARK LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372155323",
            "telephone_number": "615-327-3620",
            "fax_number": "615-329-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 24TH AVE N",
            "address_2": "STE 208",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031520",
            "telephone_number": "615-327-3620",
            "fax_number": "615-329-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDER",
        "first_name": "SCOTT",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "025663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.