Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael S Ruggiero, PA

Individual provider Physician Assistant · NPI 1275598112

Michael S Ruggiero, PA is a Physician Assistant in Peabody, Massachusetts. Qualified in 2003, 23 years ago. Practices with Convenientmd - Ffs Uc LLC, a 395-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
23
Licensed in
MA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2 Essex Center Dr
Peabody, MA 01960-2902
Phone: (978) 977-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 210 Andover St, Peabody, MA 01960-1647 — (978) 488-3234

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1733 (MA)
Physician Assistant Taxonomy 363A00000X · Licence 1733 (MA)

Record details

NPI number1275598112
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 20, 2006
Last updated in NPPESApril 3, 2024
Certification dateApril 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Convenientmd - Ffs Uc Llc — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Other providers in Peabody