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DR. MARK STEPHEN RUGGIERO M.D.
NPI 1972621225
Pediatrics - Developmental - Behavioral Pediatrics in Truckee, CA

Active since March 26, 2007PECOS Enrolled
10121 PINE AVE, TRUCKEE, CA 96161(530) 582-6429(530) 550-6726 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 23, 2023, Oct 13, 2022, Mar 27, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Mark Stephen Ruggiero M.d. NPPES

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

DR. MARK STEPHEN RUGGIERO M.D. (NPI 1972621225) is an individual developmental - behavioral pediatrics provider in Truckee, California, licensed in Arizona (29608) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972621225
Entity TypeIndividualMale
Primary Taxonomy2080P0006X
Provider Legal NameDR. MARK STEPHEN RUGGIEROCredential: M.D.
Location Address10121 PINE AVETruckee, CA 96161-4835
Mailing Address10121 Pine AveTruckee, CA 96161-4835 · Fax (530) 550-6726
Phone(530) 582-6429
Fax(530) 550-6726
Sole ProprietorNo
Enumeration DateMarch 26, 2007
Last NPPES UpdateFebruary 23, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2023
✔ NPI 1972621225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in AZ · 29608
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
10121 PINE AVE, Truckee, CA 96161
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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 (PECOS)

Dr. Mark Stephen Ruggiero M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mark Ruggiero reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tahoe Forest Hospital District
0.1 mi
Critical Access
10121 PINE AVE
Truckee, CA 96161
  • Reassigned Medicare billing, California enrollment
  • 129 clinicians in this Medicare group
NPI 1538265780 (530) 587-6011
Phoenix Children's Medical Group
593 mi
Multi-Specialty
20325 N 51ST AVE, STE 116
Glendale, AZ 85308
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Phoenix Children's Hospital
  • 1,416 clinicians in this Medicare group
NPI 1679703441 (602) 933-0003

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

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.

LORI GRAHAM
Registered Nurse (Case Management)
10121 PINE AVE
TRUCKEE, CA 96161
Placer County (530) 582-6561
DR. GIPANJOT DHILLON MD
Psychiatry & Neurology (Psychiatry)
10121 PINE AVE
TRUCKEE, CA 96161
Placer County (530) 587-6011
JONATHAN C MORGAN PA-C
Physician Assistant
10121 PINE AVE
TRUCKEE, CA 96161
Placer County (530) 587-6011
AARON ULLAND
Family Medicine
10121 PINE AVE
TRUCKEE, CA 96161
Placer County (530) 587-6011
THOMAS ANDREW LUSCOMB
Anesthesiology
10121 PINE AVE
TRUCKEE, CA 96161
Placer County (530) 587-6011
AYANA TAYLOR
Student in an Organized Health Care Education/Training Program
10121 PINE AVE
TRUCKEE, CA 96161
Placer County (530) 597-6011
RICKI A ALPERT MD
Anesthesiology
10121 PINE AVE
TRUCKEE, CA 96161
Placer County (530) 587-6011
DR. THOMAS ANDREW HOVENIC M.D.
Internal Medicine (Infectious Disease)
10121 PINE AVE
TRUCKEE, CA 96161
Placer County (530) 587-6011

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 Mark Ruggiero's NPI number?

The NPI number for Mark Ruggiero is 1972621225. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Mark Ruggiero located?

Mark Ruggiero practices at 10121 Pine Ave, Truckee, CA 96161. The listed phone number is (530) 582-6429.

What is Mark Ruggiero's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Mark Ruggiero enrolled in Medicare?

Yes. Mark Ruggiero is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mark Ruggiero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Ruggiero reassigns Medicare benefits to 2 organizations: Tahoe Forest Hospital District (Truckee, CA) and Phoenix Children's Medical Group (Glendale, AZ). Each 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 Mark Ruggiero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Ruggiero was last updated on February 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.