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Active NPI 1649252651 Individual Practitioner Male Practitioner

Dr. Phillip J Ruffalo , MD

Surgery • Williston, ND

Professional Overview & Biography Verified Profile Summary

Dr. Phillip Ruffalo, MD is a registered healthcare professional specializing in Surgery in Williston, ND. Practice services are available at 1213 15TH AVE W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1213 15th Ave W
Suite 250

Williston, ND 588013800

Telephone 7015770319
Fax 7015727438
Associated Practice Facility / Clinic
🏢 Mercy Medical Center Facility NPI 1760549000

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Williston, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.0 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Williston, ND (148 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License ND ND3055

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License ID M5897

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License MT 3813

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
013760 (ND)
Commercial Insurance / Payer ID Mt Medicaid
0031720 (MT)
Commercial Insurance / Payer ID Idaho License #
M5897 (ID)
Commercial Insurance / Payer ID Nd Blue Cross Blue Shield
594 (ND)
Commercial Insurance / Payer ID Mt License #
3813 (MT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Joseph Adducci , MD

Obstetrics & Gynecology

NPI 1710042817

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2026

Surgery (License #M5897 in ID)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1213 15TH AVE W, SUITE 250, WILLISTON, ND 588013800 (Tel: 7015770319)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1213 15TH AVE W, SUITE 250, WILLISTON, ND 588013800 (Tel: 7015770319)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PHILLIP RUFFALO, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #ND3055 in ND)

🟢
Initial NPI Registration & Enumeration November 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649252651
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

1213 15th Ave W, Suite 250

Williston, ND 588013800

Phone: 7015770319

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.