Individual provider Active NPI

Ruben A Peredo-Wende, M.D.

  • Rheumatology Physician
  • Albany, NY
National Provider Identifier
1841465143
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
4301092454 Issued in MI
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160909000387 NY Practitioner - RheumatologyPractitioner - Internal Medicine 2062571813 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15633PRMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Rheumatology, LLP CurrentSince Nov 12, 2016 Accepting new patients
Albany Medical College CurrentSince Jul 5, 2016 Accepting new patients
Albany Medical College Rheumatology CurrentSince Jul 5, 2016 Accepting new patients
Albany Medical College Internal Medicine CurrentSince Jun 1, 2019 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.