Individual provider Active NPI

Kathryn E Ruvolo, D.O.

  • Family Medicine Physician
  • Raymond, NH
National Provider Identifier
1821518176
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21474 Issued in NH
Practice address
128 Route 27
Raymond, NH 03077-1230
Phone
(603) 895-3351
Fax
(603) 895-3548
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21474 NH Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

128 Route 27
Raymond, NH 03077-1230

Mailing address

207 S Main St
Newmarket, NH 03857-1835
Phone (603) 895-3351

Other practice location 1

624 McClellan St Ste 101
Schenectady, NY 12304-1020
Phone (518) 347-5293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201013003512 NY Practitioner - Family Practice 4082034020 Reassigns benefits to 1 organization
I20210913001509 NH Practitioner - Family Practice 4082034020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lamprey Health Care IncGroup PAC ID 3577535319, 52 clinicians

Practice addresses (Care Compare)

10 Tsienneto Rd
Derry, NH 03038-1505
Phone (603) 659-3106

128 Route 27
Raymond, NH 03077-1220
Phone (603) 895-3351

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21474NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis Hospital CurrentSince Jul 21, 2020 Accepting new patients
Lamprey Health Care Inc CurrentSince Sep 13, 2021 Accepting new patients
Lamprey Health Care Inc Family Medicine CurrentSince Sep 13, 2021 Accepting new patients

Locations

207 S Main St
Newmarket, NH 03857
Phone (603) 659-3106

128 State Route 27
Raymond, NH 03077

624 McClellan St
Ste 101
Schenectady, NY 12304
Phone (518) 347-5043

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

600 McClellan St
Schenectady, NY 12304
Phone (518) 382-2000

Interoperability endpoints

  • Direct secure messaging: kathryn.ruvolo.1@28541.direct.athenahealth.com
  • Direct secure messaging: kruvolo507197@direct.bilh.masshiway.net

Organizations & group practices 3

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 1

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1821518176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S MAIN ST",
            "city": "NEWMARKET",
            "state": "NH",
            "postal_code": "038571835",
            "telephone_number": "603-895-3351",
            "fax_number": "603-895-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 ROUTE 27",
            "city": "RAYMOND",
            "state": "NH",
            "postal_code": "030771230",
            "telephone_number": "603-895-3351",
            "fax_number": "603-895-3548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 McClellan St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123041020",
            "country_code": "US",
            "telephone_number": "518-347-5293",
            "fax_number": "518-347-5196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUVOLO",
        "first_name": "KATHRYN",
        "middle_name": "E",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "21474",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymond, NH

Sources for this page

Verify at the official NPI Registry.