JAKE RUDDY MD
NPI 1891265740
Internal Medicine in Boston, MA
About Jake Ruddy Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAKE RUDDY MD (NPI 1891265740) is an individual internal medicine provider in Boston, Massachusetts, licensed in New York (339210) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Johns Hopkins University School Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jake Ruddy Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Jake Ruddy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10032
- Reassigned Medicare billing, New York enrollment
- 3,922 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
New York-Presbyterian Hospital
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOSTON, MA 02215
BOSTON, MA 02215
BOSTON, MA 02215
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 Jake Ruddy's NPI number?
The NPI number for Jake Ruddy is 1891265740. It was assigned to this individual provider in the NPPES registry on December 4, 2018.
Where is Jake Ruddy located?
Jake Ruddy practices at 185 Pilgrim Rd Baker 4th Floor, Boston, MA 02215. The listed phone number is (617) 632-7828.
What is Jake Ruddy's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Jake Ruddy enrolled in Medicare?
Yes. Jake Ruddy 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.
Which organization bills Medicare for Jake Ruddy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jake Ruddy reassigns Medicare benefits to Trustees Of Columbia University In The City Of New York (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jake Ruddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jake Ruddy affiliated with any hospitals?
According to CMS data, Jake Ruddy is affiliated with New York-Presbyterian Hospital.
When was this NPI record last updated?
The NPPES record for Jake Ruddy was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.
# Jake Ruddy, MD · NPI 1891265740
Internal Medicine physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since December 4, 2018.
## Identity
- **NPI:** 1891265740 (Entity type: Individual)
- **Enumerated:** December 4, 2018
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 339210 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 185 PILGRIM RD, BAKER 4TH FLOOR, Boston, MA 02215-5324
- **Phone:** (617) 632-7828
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Trustees Of Columbia University In The City Of New York (NPI 1508266347, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Johns Hopkins University School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** October 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1891265740) · Data from the CMS NPPES public registry.