Individual provider Active NPI

Jennifer M Ruh, M. D.

  • Family Medicine Physician
  • Orchard Park, NY
National Provider Identifier
1891714028
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1874061 Issued in NY
Practice address
3725 N Buffalo St
Orchard Park, NY 14127-1853
Phone
(716) 508-4040
Fax
(716) 508-8038
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1874061 NY Primary

Addresses

Primary practice location

3725 N Buffalo St
Orchard Park, NY 14127-1853

Mailing address

3725 N Buffalo St
Orchard Park, NY 14127-1853
Phone (716) 508-4040

Other identifiers 4

IdentifierTypeStateIssuer
00020006901OtherNYUNIVERA
0005230653OtherNYCOMM BLUE
0106734OtherNYIHA
01830331MedicaidNY

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
I20100817001118 NY Practitioner - Family Practice 5294785556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Duke University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3725 N Buffalo St
Orchard Park, NY 14127-1853
Phone (716) 912-8763

Hospital & facility affiliations

  • McAuley Seton Home Care Corp Chha Home health agency, Buffalo, NY, CCN 337251
  • Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1874061NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer M. Ruh, MD, PC Family Medicine CurrentSince Mar 29, 2019 Accepting new patients
Erie County Medical Center Corporation Past Accepting new patients

Locations

3725 N Buffalo St
Ste D
Orchard Park, NY 14127
Phone (716) 508-4040

3725 N Buffalo St
Orchard Park, NY 14127
Phone (716) 508-4040

Interoperability endpoints

  • Direct secure messaging: jennifer.ruh.1@19167.direct.athenahealth.com

Organizations & group practices 2

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 8

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1891714028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 N BUFFALO ST",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271853",
            "telephone_number": "716-508-4040",
            "fax_number": "716-508-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 N BUFFALO ST",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271853",
            "telephone_number": "716-508-4040",
            "fax_number": "716-508-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUH",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "1874061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00020006901",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMM BLUE",
            "identifier": "0005230653",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "0106734",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01830331",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.