SAMANTHA CATHERINE RUDDY M.D.
NPI 1972037596
Internal Medicine - Infectious Disease in Bronx, NY

Q: What is Samantha Ruddy's NPI number?

The NPI number for Samantha Ruddy is 1972037596. It was assigned to this individual provider in the NPPES registry on April 20, 2017.

Q: What is Samantha Ruddy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Ruddy was last updated on August 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 20, 2017PECOS EnrolledAccepts Medicare Assignment

2015 GRAND CONCOURSE, BRONX, NY 10453(718) 299-7295(718) 299-6797 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 17, 2022, Dec 14, 2017, Apr 20, 2017 (3 updates tracked since 2017).

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About Samantha Catherine Ruddy M.d. NPPES

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

SAMANTHA CATHERINE RUDDY M.D. (NPI 1972037596) is an individual infectious disease provider in Bronx, New York, licensed in New York (318420) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1972037596

Entity TypeIndividualFemale

Primary Taxonomy207RI0200X

Provider Legal NameSAMANTHA CATHERINE RUDDYCredential: M.D.

Location Address2015 GRAND CONCOURSEBronx, NY 10453-4303

Mailing Address2626 Halperin AveBronx, NY 10461-2631 · (718) 618-0401 · Fax (347) 479-1303

Phone(718) 299-7295

Fax(718) 299-6797

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateApril 20, 2017

Last NPPES UpdateAugust 17, 20223 updates tracked since enumeration

NPPES CertifiedAugust 17, 2022

✔ NPI 1972037596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in NY · 318420

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

2015 GRAND CONCOURSE, Bronx, NY 10453

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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

Samantha Catherine Ruddy 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 ID648654772

PECOS Enrollment IDI20220908001508

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.

Medicare Billing Reassignments

Medicare enrollment records show Samantha Ruddy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Essen Medical Associates, PC

Same address

Legal Medicine

2015 GRAND CONCOURSE
Bronx, NY 10453

Reassigned Medicare billing, New York enrollment
1,393 clinicians in this Medicare group

NPI 1366418709 (718) 583-7736

Sun River Health Inc

0.8 mi

Adult Day Care

1543-1545 INWOOD AVENUE, HUDSON RIVER HEALTHCARE ADULT DAY PROGRAM
Bronx, NY 10452

Reassigned Medicare billing, New York enrollment
683 clinicians in this Medicare group

NPI 1740763275 (855) 681-8700

Bronx Medical Practice P.C.

3.2 mi

Internal Medicine

2626 HALPERIN AVE
Bronx, NY 10461

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Bronx Medical Practice PC
1,013 clinicians in this Medicare group

NPI 1356726087 (646) 340-1309

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10453 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

MANA RAO M.D.

Internal Medicine (Infectious Disease)