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

Stefanie Ruffolo, MD

Individual provider Internal Medicine Physician · NPI 1548572696

Stefanie Ruffolo, MD is a Critical Care (Intensivists) in Kenosha, Wisconsin. Graduated from Medical College of Wisconsin in 2010, 16 years ago. Practices with Advantage Physical Therapy and Sports Rehab, LLC, a 286-clinician group and accepts Medicare assignment. Licensed in Pennsylvania and Wisconsin.

Years since qualifying
16
Trained at
Medical College of Wisconsin
Licensed in
PA, WI
In the registry since
2010
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6121 Green Bay Rd Ste 100
Kenosha, WI 53142-2931
Phone: (262) 220-7294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 63334 (WI)
Internal Medicine Physician Taxonomy 207R00000X · Licence MT197580 (PA)
Pediatrics Physician Taxonomy 208000000X · Licence MT197580 (PA)
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X · Licence 63334 (WI)
Pediatrics Physician Taxonomy 208000000X · Licence 63334 (WI)

Record details

NPI number1548572696
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 6, 2010
Last updated in NPPESFebruary 4, 2016
Mailing address3805 13th Pl, Kenosha, WI 53144-2942

Medicare enrollment

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

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Also practisesPEDIATRIC MEDICINE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2010 (16 years in practice)
Group practice Advantage Physical Therapy And Sports Rehab, Llc — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Kenosha