Active NPI
Ruben A Peredo-Wende, M.D.
- Rheumatology Physician
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 4301092454
- Practice address
- 4 Tower PL
8TH Floor
Albany, NY 12203-3715 - Phone
- (518) 489-4471
- Fax
- (518) 489-4506
- NPI assigned
- Apr 28, 2008
- Last updated
- Nov 14, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301092454 | MI | |
| Rheumatology Physician | 207RR0500X | 15633 | PR | |
| Rheumatology Physician | 207RR0500X | 4301092454 | MI | Primary |
Addresses
Primary practice location
4 Tower PL
8TH Floor
Albany, NY 12203-3715
Mailing address
4 Tower PL
8TH Floor
Albany, NY 12203-3715
Phone (518) 489-4471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15633 | PR | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Rheumatology, LLP | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Rheumatology | Current | Accepting new patients |
| Albany Medical College | Internal Medicine | Current | Accepting new patients |
| Albany Medical College | Internal Medicine | Current | Accepting new patients |
Locations
1365 Washington Ave
Albany, NY 12206
Phone (518) 435-1300
1365 Washington Ave
Ste 200
Albany, NY 12206
Phone (518) 264-1761
4 Tower Pl
Fl 8
Albany, NY 12203
Phone (518) 489-4471
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705
6 Care Ln
Ste 101
Saratoga Springs, NY 12866
Phone (518) 489-4471
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- ruben.peredo.p1@direct.tcfr.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Albany, NY
- NPI 1205926078
-
dba Albany Med EmUrgent Care
- Urgent Care Clinic/Center
- Albany, NY
- NPI 1386038925
-
dba Albany Medical College Department of Medicine
- Allergy & Immunology Physician
- Albany, NY
- NPI 1386689248
Rheumatology
-
dba Albany Medical College Dept of PM&R
- Physical Medicine & Rehabilitation Physician
- Albany, NY
- NPI 1629008537
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479081600000",
"number": "1841465143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 TOWER PL",
"address_2": "8TH FLOOR",
"city": "ALBANY",
"state": "NY",
"postal_code": "122033715",
"telephone_number": "518-489-4471",
"fax_number": "518-489-4506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 TOWER PL",
"address_2": "8TH FLOOR",
"city": "ALBANY",
"state": "NY",
"postal_code": "122033715",
"telephone_number": "518-489-4471",
"fax_number": "518-489-4506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREDO-WENDE",
"first_name": "RUBEN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-28",
"last_updated": "2016-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301092454",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "PR",
"license": "15633",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MI",
"license": "4301092454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.