Organization Active NPI

Qavs LLC

  • General Practice Physician
  • Ellicott City, MD
National Provider Identifier
1033070008
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
QAVS LLC
Practice address
4954 Valley View Overlook
Ellicott City, MD 21042-6276
Phone
(361) 215-1262
NPI assigned
Nov 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Vanessa Rodis Ruales, MDNPI 1174798276
Title
Owner
Phone
(361) 215-1262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

4954 Valley View Overlook
Ellicott City, MD 21042-6276

Mailing address

4954 Valley View Overlook
Ellicott City, MD 21042-6276
Phone (361) 215-1262

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1033070008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4954 VALLEY VIEW OVERLOOK",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426276",
            "telephone_number": "361-215-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4954 VALLEY VIEW OVERLOOK",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426276",
            "telephone_number": "361-215-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QAVS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "RUALES",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "RODIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-215-1262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.