Individual provider Active NPI

Daryle A Ruark, MD

  • Orthopaedic Surgery Physician
  • Hartford, CT
National Provider Identifier
1831174846
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
54150 Issued in CT
Practice address
1000 Asylum Ave
Suite 2126
Hartford, CT 06105-1770
Phone
(860) 728-6740
Fax
(860) 547-1554
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 217180 MA
Orthopaedic Surgery Physician 207X00000X 54150 CT Primary

Addresses

Primary practice location

1000 Asylum Ave
Suite 2126
Hartford, CT 06105-1770

Mailing address

1000 Asylum Ave
Suite 2126
Hartford, CT 06105-1770
Phone (860) 728-6740

Other identifiers 1

IdentifierTypeStateIssuer
2011859MedicaidMA

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
I20040706000746 MA Practitioner - Orthopedic Surgery 0446237606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Albany Medical College of Union University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holyoke Medical Center IncGroup PAC ID 2163419383, 202 clinicians

Practice addresses (Care Compare)

10 Hospital Dr
Suite 203
Holyoke, MA 01040-6643
Phone (413) 536-5814

Hospital & facility affiliations

  • Holyoke Visiting Nurse Assoc Home health agency, Holyoke, MA, CCN 227015
  • Holyoke Medical Center Hospital, Holyoke, MA, CCN 220024
  • Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement16
Lower limb (leg) arthroscopy (minimally invasive joint repair)21
Upper limb (arm) arthroscopy (minimally invasive joint repair)44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54150CTMDOrthopaedic Surgery Physician
217180MAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Mass Physician Associates Inc CurrentSince Nov 1, 2024 Accepting new patients
Western Mass Physician Associates Inc CurrentSince Nov 1, 2024 Accepting new patients
Holyoke Medical Center, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Riverbend Medical Group, Inc Past Accepting new patients
Mwa, PC Past Accepting new patients

Locations

10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830

10 Hospital Dr
Ste 203
Holyoke, MA 01040
Phone (413) 536-5814

10 Hospital Dr
#203
Holyoke, MA 01040
Phone (413) 536-5814

15 Hospital Dr
Ste 50
Holyoke, MA 01040
Phone (413) 534-2826

11 Hospital Dr
Holyoke, MA 01040
Phone (413) 535-4757

575 Beech St
Ste 402
Holyoke, MA 01040
Phone (413) 534-2820

Interoperability endpoints

  • Direct secure messaging: daryle.ruark@direct.hmcs.masshiway.net

Organizations & group practices 5

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 4

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1831174846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE",
            "address_2": "SUITE 2126",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051770",
            "telephone_number": "860-728-6740",
            "fax_number": "860-547-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE",
            "address_2": "SUITE 2126",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051770",
            "telephone_number": "860-728-6740",
            "fax_number": "860-547-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUARK",
        "first_name": "DARYLE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "217180",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "54150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2011859",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.