Active NPI
Kathryn E Ruvolo, D.O.
- Family Medicine Physician
- Raymond, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21474
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21474 | NH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellis Hospital | Current | Accepting new patients | |
| Lamprey Health Care Inc | Current | Accepting new patients | |
| Lamprey Health Care Inc | Family Medicine | Current | 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
- kathryn.ruvolo.1@28541.direct.athenahealth.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Newmarket, NH
- NPI 1568412237
Family Medicine
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1487644993
-
- Federally Qualified Health Center (FQHC)
- Raymond, NH
- NPI 1134702954
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Exeter, NH
- NPI 1437158433
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.