Active NPI
Gary Lee Ruelle, M.D.
- Family Medicine Physician
- Waterford, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301081689
- Practice address
- 5696 Dixie Hwy
Waterford, MI 48329-1618 - Phone
- (248) 623-8850
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301081689 | MI | Primary |
Addresses
Primary practice location
5696 Dixie Hwy
Waterford, MI 48329-1618
Mailing address
5696 Dixie Hwy
Waterford, MI 48329-1618
Phone (248) 623-8850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301081689 | Other | MI | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5696 Dixie Hwy
Waterford, MI 48329-1618
Phone (248) 623-8850
Hospital & facility affiliations
- Better You Home Health, LLC
- Corsocare Home Health
- Residential Home Health and Hospice
- Trinity Health Oakland Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301081689 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strength & Health Medical PC | Family Medicine | Current | Accepting new patients |
Locations
5696 Dixie Hwy
Waterford, MI 48329
Phone (248) 623-8850
1305 N Oakland Blvd
Waterford, MI 48327
Phone (248) 666-5522
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.
-
- Family Medicine Physician
- Waterford, MI
- NPI 1881874923
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Dearborn, MI
- NPI 1427681246
-
- Home Health Agency
- Milford, MI
- NPI 1720212574
-
- Home Health Agency
- Lapeer, MI
- NPI 1316054810
-
- Community Based Hospice Care Agency
- Lapeer, MI
- NPI 1831395243
Home health agency
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1053356352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1831280080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5696 DIXIE HWY",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483291618",
"telephone_number": "248-623-8850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5696 DIXIE HWY",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483291618",
"telephone_number": "248-623-8850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUELLE",
"first_name": "GARY",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2021-02-10",
"certification_date": "2020-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301081689",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "4301081689",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.