NPIMap

Individual provider Active NPI

Michael E Ruff, MD

  • Pediatrics Physician
  • Jasper, IN
National Provider Identifier
1932184256
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01041837 Issued in IN
Practice address
721 W 13TH St
Ste 321
Jasper, IN 47546
Phone
(812) 482-7918
Fax
(812) 634-1644
NPI assigned
Dec 9, 2005
Last updated
Jul 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01041837 IN Primary

Addresses

Primary practice location

721 W 13TH St
Ste 321
Jasper, IN 47546

Mailing address

721 W 13TH St
Ste 321
Jasper, IN 47546
Phone (812) 482-7918

Other identifiers 3

IdentifierTypeStateIssuer
000000291250OtherBCBS
450494518102OtherINCARE SOURCE
100111100AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Vanderbilt University School of Medicine, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13 Rolling Ridge CT
Jasper, IN 47546-9098

500 W Jefferson St
Louisville, KY 40202-2823

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01041837INMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Memorial Medical Center Inc Past Accepting new patients
Deaconess Memorial Medical Center Inc Pediatrics Past Accepting new patients
Deaconess Clinic, Inc Past Accepting new patients
Jasper Pediatric Associates PC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mruff1056336@direct.deaconess.com

Organizations & group practices 4

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1932184256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W 13TH ST",
            "address_2": "STE 321",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "47546",
            "telephone_number": "812-482-7918",
            "fax_number": "812-634-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W 13TH ST",
            "address_2": "STE 321",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "47546",
            "telephone_number": "812-482-7918",
            "fax_number": "812-634-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFF",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01041837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000291250",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE SOURCE",
            "identifier": "450494518102",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100111100A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.