RICHARD JOSEPH RUGGIERI M.D.
NPI 1700883055
Internal Medicine in Providence, RI

Active since July 01, 2005PECOS EnrolledAccepts Medicare Assignment
160 WAYLAND AVE, PROVIDENCE, RI 02906(401) 521-1221(401) 454-4189 Get Directions Write a Review

NPPES record last updated: June 25, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard Joseph Ruggieri M.d. NPPES

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

RICHARD JOSEPH RUGGIERI M.D. (NPI 1700883055) is an individual internal medicine provider in Providence, Rhode Island, licensed in Rhode Island (07821) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of Warren Alpert Medical School Of Brown University (1987).

NPPES Registry Identity

NPI1700883055
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRICHARD JOSEPH RUGGIERICredential: M.D.
Location Address160 WAYLAND AVEProvidence, RI 02906-4304
Mailing Address160 Wayland AveProvidence, RI 02906-4304 · (401) 521-1221 · Fax (401) 454-4189
Fax(401) 454-4189
Sole ProprietorYes
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1987
Enumeration DateJuly 1, 2005
Last NPPES UpdateJune 25, 2010
NPI 1700883055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in RI · 07821
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
160 WAYLAND AVE, Providence, RI 02906

Other Identifiers 10

Medicare UPINE71432
OtherAA8937Harvard Pilgrim
Other0402379United Health Care
Other0407052Evercare
Other404203Tufts Health Plan
Other21123RI · Bcbs
Medicare PIN007056527
Other004193RI · Blue Chip
MedicaidRR31278RI
Other044Cigna

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Richard Joseph Ruggieri M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698755643
PECOS Enrollment IDI20040726000055
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.

Areas of Expertise CMS Part B claims 20

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
465 services264 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
403 services403 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
397 services397 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
209 services154 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
74 services17 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
64 services53 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
22 suppliers62 claims174 services$6.20 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
13 suppliers29 claims44 services$1.06 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier16 claims26 services$7.95 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers18 claims18 services$23.65 avg. paid by Medicare
Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
2 suppliers11 claims11 services$9.18 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers26 claims26 services$200.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Non-Pharmacy Dispensing Site
160 WAYLAND AVE
PROVIDENCE, RI 02906
Nurse Practitioner (Primary Care)
160 WAYLAND AVE
PROVIDENCE, RI 02906
Nurse Practitioner (Acute Care)
160 WAYLAND AVE
PROVIDENCE, RI 02906
Internal Medicine
160 WAYLAND AVE
PROVIDENCE, RI 02906
Nurse Practitioner (Family)
160 WAYLAND AVE
PROVIDENCE, RI 02906
Internal Medicine
160 WAYLAND AVE
PROVIDENCE, RI 02906

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 Richard Ruggieri's NPI number?

The NPI number for Richard Ruggieri is 1700883055. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Where is Richard Ruggieri located?

Richard Ruggieri practices at 160 Wayland Ave, Providence, RI 02906. The listed phone number is (401) 521-1221.

What is Richard Ruggieri's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Richard Ruggieri enrolled in Medicare?

Yes. Richard Ruggieri is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Richard Ruggieri affiliated with any hospitals?

According to CMS data, Richard Ruggieri is affiliated with Rhode Island Hospital, Kent County Memorial Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Richard Ruggieri was last updated on June 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.