Individual provider

Theresa Ruddy, M.D.

Colon & Rectal Surgery Physician Trauma Surgery Physician Surgery Physician Medicare enrolled

Theresa Ruddy, M.D. is a Colon & Rectal Surgery Physician in Liverpool, NY, registered under NPI 1841491099. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 5100 W TAFT RD STE 4A, Liverpool, NY 13088. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

5100 W TAFT RD STE 4A, Liverpool, NY 13088 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
18258-875 WI Colon & Rectal Surgery Physician primary
255925 NY Trauma Surgery Physician
255925 NY Surgery Physician
255925 NY Colon & Rectal Surgery Physician

Licences are recorded in 2 states: WI, NY. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Colorectal Surgery (proctology)
PAC ID
4082704572

Enrolled in Medicare 3 times, across 3 states:

StateEnrollment IDProvider type
New York I20110103000866 Practitioner - Colorectal Surgery (proctology)
Wisconsin I20180629000029 Practitioner - General Surgery
Vermont I20180904003312 Practitioner - General Surgery

Medicare enrolment is recorded as approved under the provider type Practitioner - Colorectal Surgery (proctology). There are 3 separate enrolment records across 3 states (NY, WI, VT). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: New York and Wisconsin. The practice address on file is in Liverpool, NY, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

NY New York practice address
Licence
255925
Specialty
Trauma Surgery Physician
Verify with the NY board →
WI Wisconsin
Licence
18258-875
Specialty
Colon & Rectal Surgery Physician
Verify with the WI board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Colon & Rectal Surgery covers

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. NUCC Health Care Provider Taxonomy, code 208C00000X
Allopathic & Osteopathic Physicians Colon & Rectal Surgery

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208C00000X Colon & Rectal Surgery Physician 18258-875 WI primary
2086S0127X Trauma Surgery Physician Trauma Surgery 255925 NY
208600000X Surgery Physician 255925 NY
208C00000X Colon & Rectal Surgery Physician 255925 NY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1841491099 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 29, 2007
Last updatedJun 11, 2018
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 5100 W TAFT RD STE 4A
Liverpool, NY 13088
(315) 458-2211
Fax (315) 452-9025
Other identifiers 03280522 · Medicaid (NY)
This record was last updated on Jun 11, 2018, roughly 8 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1841491099 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 8 4 1 4 9 1 0 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 8 8 1 8 9 2 0 9

Sum = 71 · next multiple of 10 = 80 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1841491099?
NPI 1841491099 is the National Provider Identifier assigned to Theresa Ruddy, M.D. in Liverpool, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Colon & Rectal Surgery Physician cover?
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary…
How do I contact Theresa Ruddy, M.D.?
The phone number on file with NPPES is (315) 458-2211, last updated Jun 11, 2018. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Theresa Ruddy, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1841491099 a valid number?
Yes. 1841491099 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.