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REDWOOD PEDIATRIC AND ADOLESCENT MEDICINE, LLC
NPI 1750302881
Pediatrics in E Longmeadow, MA

Active since July 22, 2006CLIA 22D1004394 · Waiver
15 VREELAND AVE, E LONGMEADOW, MA 01028(413) 787-2555(413) 787-9992 Get Directions Write a Review

NPPES record last updated: February 20, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Redwood Pediatric And Adolescent Medicine, Llc NPPES

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

REDWOOD PEDIATRIC AND ADOLESCENT MEDICINE, LLC (NPI 1750302881) is a healthcare organization registered as a pediatrics in E Longmeadow, Massachusetts and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 24, 2026 and lists Keith R Ruppel, Partner, as its authorized official.

NPPES Registry Identity

NPI1750302881
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameREDWOOD PEDIATRIC AND ADOLESCENT MEDICINE, LLC
Location Address15 VREELAND AVEE Longmeadow, MA 01028-1631
Mailing Address15 Vreeland AveE Longmeadow, MA 01028-1631 · (413) 787-2555 · Fax (413) 787-9992
Phone(413) 787-2555
Fax(413) 787-9992
Organization SubpartNo
Authorized OfficialKeith R RuppelPartner · (413) 787-2555
Enumeration DateJuly 22, 2006
Last NPPES UpdateFebruary 20, 2009
✔ NPI 1750302881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
15 VREELAND AVE, E Longmeadow, MA 01028
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D1004394

Redwood Pediatric & Adolescent Medicine · East Longmeadow, MA
Active · expires Sep 24, 2026
CLIA Number22D1004394
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2024
Certificate Expiration DateSeptember 24, 2026
Laboratory DirectorKeith R. Ruppel
Laboratory Phone(413) 787-2555
Laboratory LocationRedwood Pediatric & Adolescent Medicine15 Vreeland Avenue, East Longmeadow, MA 01028
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. GREER A CLARKE M.D.
Pediatrics (Adolescent Medicine)
15 VREELAND AVE
EAST LONGMEADOW, MA 01028
Hampden County (413) 787-2555
MS. SHANNON E WEST-BUXTON PNP
Nurse Practitioner (Pediatrics)
15 VREELAND AVE
EAST LONGMEADOW, MA 01028
Hampden County (413) 787-2555
DR. JOHN R KELLEY M.D.
Pediatrics (Adolescent Medicine)
15 VREELAND AVE
EAST LONGMEADOW, MA 01028
Hampden County (413) 787-2555
DR. KEITH R RUPPEL M.D.
Pediatrics (Adolescent Medicine)
15 VREELAND AVE
EAST LONGMEADOW, MA 01028
Hampden County (413) 787-2555

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 Redwood Pediatric And Adolescent Medicine, LLC's NPI number?

The NPI number for Redwood Pediatric And Adolescent Medicine, LLC is 1750302881. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is Redwood Pediatric And Adolescent Medicine, LLC located?

Redwood Pediatric And Adolescent Medicine, LLC is located at 15 Vreeland Ave, E Longmeadow, MA 01028. The listed phone number is (413) 787-2555.

What is Redwood Pediatric And Adolescent Medicine, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Redwood Pediatric And Adolescent Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D1004394) is associated with this NPI, valid through September 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Redwood Pediatric And Adolescent Medicine, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Redwood Pediatric And Adolescent Medicine, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Redwood Pediatric And Adolescent Medicine, LLC was last updated on February 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.