Individual provider Active NPI

Ruggero Spadafora, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Boston, MA
National Provider Identifier
1821312893
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
243336 Issued in MA
Practice address
912 Beacon St
Boston, MA 02215-3016
Phone
(857) 205-1491
NPI assigned
Mar 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 243336 MA Primary

Addresses

Primary practice location

912 Beacon St
Boston, MA 02215-3016

Mailing address

912 Beacon St
Boston, MA 02215-3016
Phone (857) 205-1491

Other practice location 1

680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20140324000952 MA Practitioner - Pediatric MedicinePractitioner - Other (Physician) 4688832363 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Healthcare Medical Group Inc CurrentSince Jun 14, 2022 Accepting new patients
Children'S Hospital Pediatric Associates, Inc CurrentSince Aug 20, 2013 Accepting new patients
Brigham & Womens Physicians Organization Inc Neonatal-Perinatal Medicine CurrentSince Aug 21, 2015 Accepting new patients
Pratt Pediatric Associates Inc CurrentSince Jul 18, 2022 Accepting new patients
Tufts Medical Center, Inc. Past Accepting new patients
LG Newcorp Inc Past Accepting new patients
Brockton Hospital, Inc. Past Accepting new patients

Locations

800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

75 Francis St
Boston, MA 02115

800 Washington St
#1
Boston, MA 02111

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

Interoperability endpoints

  • Direct secure messaging: ruggero.spadafora@direct.signature.masshiway.net

Organizations & group practices 7

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": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1821312893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 BEACON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022153016",
            "telephone_number": "857-205-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 BEACON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022153016",
            "telephone_number": "857-205-1491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 Centre St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023023308",
            "country_code": "US",
            "telephone_number": "508-941-7299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPADAFORA",
        "first_name": "RUGGERO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-19",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MA",
            "license": "243336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.