ALEX BOTAO RUAN MD
NPI 1801454178
Pediatrics in Philadelphia, PA

Q: What is Alex Ruan's NPI number?

The NPI number for Alex Ruan is 1801454178. It was assigned to this individual provider in the NPPES registry on June 3, 2019.

Q: What is Alex Ruan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alex Ruan was last updated on June 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 03, 2019PECOS Enrolled

3401 CIVIC CENTER BLVD RM 55, PHILADELPHIA, PA 19104(215) 590-1220 Get Directions Write a Review

NPPES record last updated: June 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Alex Botao Ruan Md NPPES

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

ALEX BOTAO RUAN MD (NPI 1801454178) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT217662) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801454178

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameALEX BOTAO RUANCredential: MD

Location Address3401 CIVIC CENTER BLVD RM 55Philadelphia, PA 19104-4319

Mailing Address3401 Civic Center Blvd Rm 55Philadelphia, PA 19104-4319 · (215) 590-1220

Phone(215) 590-1220

Sole ProprietorNo

Enumeration DateJune 3, 2019

✔ NPI 1801454178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in PA · MT217662

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.

3401 CIVIC CENTER BLVD RM 55, Philadelphia, PA 19104

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alex Botao Ruan 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

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.

HELEN MARIE STANLEY MD

Pediatrics