Individual provider Active NPI

David Ruggieri, M.D.

  • Cardiovascular Disease Physician
  • Punta Gorda, FL
National Provider Identifier
1891702965
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME-0055973 Issued in FL
Practice address
1107 W Marion Ave
116
Punta Gorda, FL 33950-5372
Phone
(941) 629-4500
Fax
(941) 639-7576
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME-0055973 FL Primary

Addresses

Primary practice location

1107 W Marion Ave
116
Punta Gorda, FL 33950-5372

Mailing address

1107 W Marion Ave
116
Punta Gorda, FL 33950-5372
Phone (941) 629-4500

Other identifiers 8

IdentifierTypeStateIssuer
592171328-001OtherCHAMPUS/TRICARE
063839100MedicaidFL
280546OtherWELLCARE
5313726001OtherCIGNA
060013311OtherRAILROAD MEDICARE
2101034OtherGHI
4602371OtherAETNA
10307OtherFLBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20081027000238 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4486712064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Health of Charlotte PAGroup PAC ID 2668530247, 2 clinicians

Practice addresses (Care Compare)

1107 W Marion Ave
Unit 116
Punta Gorda, FL 33950-5372
Phone 9416377000126

Hospital & facility affiliations

  • Concierge Home Care Home health agency, Sarasota, FL, CCN 109509
  • Amedisys Home Health Home health agency, Port Charlotte, FL, CCN 108270
  • HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236
  • Desoto Memorial Hospital Hospital, Arcadia, FL, CCN 100175
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

Merit-based Incentive Payment System (MIPS)

Final score
92.3 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Varicose vein removal111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME-0055973FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Health of Charlotte PA Cardiovascular Disease CurrentSince Oct 27, 2008 Accepting new patients

Locations

1107 W Marion Ave
Unit 116
Punta Gorda, FL 33950
Phone (941) 637-1076

Interoperability endpoints

  • Direct secure messaging: david.ruggieri.1@13955.direct.athenahealth.com

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.

Hospital & facility affiliations 5

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1891702965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 W MARION AVE",
            "address_2": "116",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339505372",
            "telephone_number": "941-629-4500",
            "fax_number": "941-639-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 W MARION AVE",
            "address_2": "116",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339505372",
            "telephone_number": "941-629-4500",
            "fax_number": "941-639-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGIERI",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME-0055973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS/TRICARE",
            "identifier": "592171328-001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063839100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "280546",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5313726001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060013311",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2101034",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4602371",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "10307",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

Verify at the official NPI Registry.