NPIMap

Individual provider Active NPI

Ruston Ladd Jennings, M.D.

  • Internal Medicine Physician
  • Granbury, TX
National Provider Identifier
1972532323
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K3593 Issued in TX
Practice address
1318 Paluxy Rd
Granbury, TX 76048-5655
Phone
(817) 573-8805
Fax
(817) 279-9515
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K3593 TX Primary

Addresses

Primary practice location

1318 Paluxy Rd
Granbury, TX 76048-5655

Mailing address

1318 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 573-8805

Other identifiers 1

IdentifierTypeStateIssuer
031455102MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ruston.ladd.jennings.1@1293.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100318000110 TX Practitioner - Internal Medicine 7315030053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at Houston, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hood Medical GroupGroup PAC ID 2567446669, 56 clinicians

Practice addresses (Care Compare)

1318 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 573-8805

Hospital & facility affiliations

  • Renew Home Health Home health agency, Fort Worth, TX, CCN 457893
  • Enhabit Home Health Home health agency, Granbury, TX, CCN 679021
  • Wings Over Texas Hospice Hospice, Cleburne, TX, CCN 971524
  • Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596
  • Glen Rose Medical Center Hospital, Glen Rose, TX, CCN 450451
  • Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779
  • Medical City Weatherford Hospital, Weatherford, TX, CCN 450203
  • Texas Health Harris Methodist Hospital Stephenvill Hospital, Stephenville, TX, CCN 450351
  • Baylor Institute for Rehabilitation at Fort Worth Inpatient rehabilitation facility, Fort Worth, TX, CCN 673035

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Granbury Internal Medicine Associates, PC Internal Medicine Current Accepting new patients
Hood Medical Group CurrentSince Sep 1, 2011 Accepting new patients
Hood Medical Group Internal Medicine CurrentSince Sep 1, 2011 Accepting new patients

Locations

900 Autumn Ridge Dr
Granbury, TX 76048
Phone (817) 573-7720

1322 Paluxy Rd
Ste C
Granbury, TX 76048
Phone (817) 279-8363

1318 Paluxy Rd
Granbury, TX 76048
Phone (800) 650-4990

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

Interoperability endpoints

  • Direct secure messaging: ruston.ladd.jennings.1@1293.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wings Over Texas HospiceCleburne, TX, CCN 971524 Hospice Contracted Managing Employee Oct 20, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 9

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1972532323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 PALUXY RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485655",
            "telephone_number": "817-573-8805",
            "fax_number": "817-279-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 PALUXY RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485655",
            "telephone_number": "817-573-8805",
            "fax_number": "817-279-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "RUSTON",
        "middle_name": "LADD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K3593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031455102",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ruston.ladd.jennings.1@1293.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1318 Paluxy Rd",
            "city": "Granbury",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760485655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

Verify at the official NPI Registry.