STEPHANIE M. RUEST MD
NPI 1114213683
Pediatrics - Pediatric Emergency Medicine in Providence, RI

Active since June 23, 2011PECOS Enrolled
593 EDDY ST, PROVIDENCE, RI 02903(401) 444-4900(401) 444-4288 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2020, Aug 23, 2018, May 23, 2018 and 1 more (4 updates tracked since 2016).

About Stephanie M. Ruest Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE M. RUEST MD (NPI 1114213683) is an individual pediatric emergency medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD15960) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1114213683
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameSTEPHANIE M. RUESTCredential: MD
Location Address593 EDDY STProvidence, RI 02903
Mailing Address125 Whipple St Ste 3Providence, RI 02908-3258 · (401) 519-0337
Fax(401) 444-4288
Sole ProprietorNo
Enumeration DateJune 23, 2011
Last NPPES UpdateMarch 9, 20204 updates tracked since enumeration
NPPES CertifiedMarch 9, 2020
NPI 1114213683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
Licenses Licensed in RI · MD15960 Licensed in RI · LP03404
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License MD15960 (RI)
593 EDDY ST, Providence, RI 02903

Secondary Practice Location 1

Location 1593 Eddy StProvidence, RI 02903-4923 · Phone (401) 444-4000 · Fax (401) 444-4000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stephanie M. Ruest Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Ruest's NPI number?

The NPI number for Stephanie Ruest is 1114213683. It was assigned to this individual provider in the NPPES registry on June 23, 2011.

Where is Stephanie Ruest located?

Stephanie Ruest practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-4900.

What is Stephanie Ruest's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Stephanie Ruest enrolled in Medicare?

Yes. Stephanie Ruest is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Ruest was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.