Keith R Ruppel, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

78845 Issued in MA

Practice address

15 Vreeland Ave
East Longmeadow, MA 01028-1631

Phone

(413) 787-2555

Fax

(413) 787-9992

NPI assigned

Oct 2, 2005

Last updated

Dec 13, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kruppel@redwoodpediatric.gwaydirect.com
• Direct secure messaging: keith.ruppel@redwoodpediatric.directbygreenway.com

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.

• Redwood Pediatric and Adolescent Medicine, LLC

  • Pediatrics Physician
  • E Longmeadow, MA
  • NPI 1750302881
  NPD (past) Authorized official
• Mercy Inpatient Medical Associates Inc.

  dba Trinity Health Of New England Medical Group

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1407845282
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1962499269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 VREELAND AVE",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281631",
            "telephone_number": "413-787-2555",
            "fax_number": "413-787-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 VREELAND AVE",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281631",
            "telephone_number": "413-787-2555",
            "fax_number": "413-787-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPPEL",
        "first_name": "KEITH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-02",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MA",
            "license": "78845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3151492",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Howe, MD, PC (Reproductive Medicine Center of Western Mass)
• Nathanael L Rosario, CRNA
• Karyn M Rosenkranz, PT, DPT
• Gena Marie Rotas, LICSW
• Run DME Inc
• Chelsea Ruscio Samble, M.ED.
• Kaileen Russell, LICSW
• Alexandra Ruszczyk, DPT
• Jennifer Ruyffelaert, OTR/L
• Jocelyn D Sailor, LICSW

• Pediatric Adolescent Medicine Physician in East Longmeadow, MA
• Providers in East Longmeadow, MA by specialty
• Pediatric Adolescent Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.